Swan-Ganz Catheter Insertion
Conditions
Keywords
Swan-Ganz catheter
Brief summary
The goal of this prospective randomized controlled study is to investigate the effect of pause of advancement of the Swan-Ganz catheter, which is to check whether the Swan-Ganz catheter arrive exactly at the right ventricle or not, on success rate of final placement and required time in Swan-Ganz catheterization. The question which the investigators are trying to answer is: Continuous advancement of Swan-Ganz catheter without intended pause in the right ventricle to check whether the Swan-Ganz catheter arrive exactly at the right ventricle will decrease the trial number and required time to success final placement of Swan-Ganz catheter?
Detailed description
Many clinicians pause advancement of Swan-Ganz catheter to check whether the Swan-Ganz catheter arrive exactly at the right ventricle or not. The hypothesis of this study is that the intended pause during advancement of Swan-Ganz catheter in the right ventricle induce failure in advancing of it into the pulmonary artery, and that it increase the required time for final placement of it into the pulmonary artery.
Interventions
PROCEDUREwith pause
When the practitioner or expert investigator recognize that the tip of Swan-Ganz catheter arrive in the right ventricle, the practitioner pause the advancement for 10 sec. Next, the practitioner re-advance it to the pulmonary artery.
PROCEDUREwithout pause
When the practitioner or expert investigator recognize that the tip of Swan-Ganz catheter arrive in the right ventricle, the practitioner advance it continuously without pause to the pulmonary artery.
Sponsors
SMG-SNU Boramae Medical Center
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* The patients who need to Swan-Ganz catheterization for heart surgeries
Exclusion criteria
* Who doesn't agree to enroll * Who has thrombus in the heart or the vena cavas.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| trial number (n) | during Swan-Ganz catheterization procedure | trial number to success placement of Swan-Ganz catheter placement into the pulmonary artery. |
| Success rate (%) | during Swan-Ganz catheterization procedure | Success rate in placement of Swan-Ganz catheter placement into the pulmonary artery |
| required time (seconds) | during Swan-Ganz catheterization procedure | total time to success Swan-Ganz catheter placement into the pulmonary artery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of arrhythmia (n) | during Swan-Ganz catheterization procedure | incidence of arrhythmia due to Swan-Ganz catheterization |
| direction of placement of Swan-Ganz catheter (n) | during Swan-Ganz catheterization procedure | direction of placement of Swan-Ganz catheter between the right pulmoary artery and the left pulmonary artery |
Countries
South Korea
Contacts
Primary ContactJung-Man Lee, M.D.,PhD.
Outcome results
None listed