Catheterization, Peripheral, Electrocardiography
Conditions
Keywords
PICC line, ECG, chest x-ray, IVECG, ICECG
Brief summary
This study will provide further knowledge concerning the use of electrocardiography (ECG) signals for verification of peripherally inserted central catheter (PICC) tip placement. Furthermore, it will be investigating whether use of Intravascular ECG (IVECG) for this verification is just as good as or even better than the current standard method with chest X-ray. This can help promote a method that involves less radiation and increased safety for patients, while at the same time saving resources. If use of ECG signals from the PICC tip is an equally exact method for verification of correct PICC tip placement as chest X-ray verification, the IVECG could replace chest X-ray control.
Interventions
DEVICEIVECG
Monitoring IVECG signals for verification for exact tip placement during the actual insertion of the PICC. When the p-wave amplitude increases the PICC-tip is in the superior vena cava. When max positive amplitude, the PICC-tip is by definition at the cavo atriale junction, and thereby in correct position.
DEVICEChest X-ray
Standard method; PICC confirmed by chest X-ray after the insertion (postoperatively)
Sponsors
Sykehuset Innlandet HF
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
The radiologist is masked/blinded in this clinical trial.
Intervention model description
RCT, two groups
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* In need for PICC * \>18 years old * Competent to give consent
Exclusion criteria
* Not visible p-wave on surface ECG (electrocardiograph) * Patients with known Atrial fibrillation or atrial flutter * Implanted pacemaker (PM) and/or implanted Implantable Cardioverter Defibrillator (ICD) * Not signed written informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PICC-tip placement examined by chest X-ray | 45 minutes | Placement of PICC-tip examined by chest X-ray both in observation group and in control group. A radiologist will examine the distance from the tracheal carina to the PICC-tip, and this measure will be registered in mm in both groups. Further the radiologist will be answering a questionnaire regarding correct placement of PICC-tip, YES or NO, which is defined as in the lower 1/3 of the superior vena cava or at the cavo atrial junction. Last also the anesthesiologist will be answering following question: Is the PICC-tip placement acceptable? YES or NO |
Countries
Norway
Outcome results
None listed