CVC, Hemodynamic Monitoring, Peripherally Inserted Central Catheters, Transpulmonary Thermodilution
Conditions
Keywords
PICC, shock, cardiac output
Brief summary
Peripherally inserted central catheters (PICCs) are increasingly used in intensive care unit (ICU) as an alternative to centrally inserted central catheters (CICCs) for intravenous infusion. In the present study we try to assess their reliability for measuring cardiac index (CI) with trans-pulmonary thermodilution (TPTD) technique.
Interventions
Thermodilution was attempted via PICC and via CICC
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients (≥18 years) admitted to the ICU * Patients requiring hemodynamic monitoring using EV1000TM * Patients having both PICC and CICC in place (these patients had their PICC replaced with a CICC, usually at the time of ICU admission, or vice versa, usually at the end of their ICU stay, and were enrolled immediately after the placement of the new device before the previous one was removed)
Exclusion criteria
* body weight \<40 kg * severe aortic regurgitation or intra-cardiac shunt * treatment with an intra-aortic balloon pump * contraindication for placement of PICC, CICC or a femoral arterial catheter * abdominal aneurism * extracorporeal circulation * pregnancy * lack of informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac Index comparison via PICC | One hour | comparison of hemodynamic measurements made by the TPTD from the VolumeView/EV1000TM system via PICC vs. CICC. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison 4Fr PICCs to CICC | one hour | Comparison of single-lumen 4 Fr PICCs to CICC in their reliability of assessing cardiac output |
| Comparison 5Fr PICCs to CICC | one hour | Comparison of dual-lumen 5 Fr PICCs to CICC in their reliability of assessing cardiac output |
Countries
Italy