Economic Problems, Infection, Thromboses, Venous
Conditions
Brief summary
This study aim to compare the cost-effectiveness and safety between centrally and peripherally inserted central venous catheters in neurosurgical intensive care unit patients.
Interventions
OTHERCVC(Central venous catheter )
The central venous catheter with different sizes (French scale). Trained doctors will perform the insertion of the CVC, using the Seldinger technique. A suitable sterile field will be established.
OTHERPICC(Peripherally inserted central catheter)
The peripherally inserted central catheter with different sizes (French scale). Trained vascular access nurses will perform the insertion of the PICC, guided by ultrasound at bedside using the Seldinger technique. A suitable sterile field will be established.
Sponsors
First Affiliated Hospital Xi'an Jiaotong University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients admitted to the neurosurgical intensive care unit , who require central access for the treatment of their illness.
Exclusion criteria
* Insertion of the central catheter in emergency situations; * Anatomical abnormalities of upper extremity affecting PICC placement; * Current or recent (within 1 month) diagnosis of bacteremia * Current or recent (within 1 year with confirmed resolution by imaging) deep venous thrombosis; * Presence of skin changes in the area of the puncture, such as thrombophlebitis, dermatitis, cellulitis, burn among others;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| thrombotic complications | up to 30 days or be discharged from hospital | radiographically-confirmed upper-extremity deep vein thrombosis |
| mechanical complications | up to 30 days or be discharged from hospital | pneumothorax or hematoma caused by puncture |
| infectious complications | up to 30 days or be discharged from hospital | catheter related bloodstream infection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| catheter replacement | up to 30 days or be discharged from hospital | obstruction or accidental removal |
| cost effectiveness | up to 30 days or be discharged from hospital | The cost of catheter implantation and replacement, as well as the cost of treatment due to catheter-related complications and the resulting financial loss to the patient. |
Countries
China
Contacts
Primary ContactHao Liu, MD
Outcome results
None listed