The Effect of Pause at the Right Ventricle on Success Rate of Final Placement in Swan-Ganz Catheterization
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- Success rate (%)
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts 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.
Arms & Interventions
with 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.
Intervention: with pause (Procedure)
without 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.
Intervention: without pause (Procedure)
Outcomes
Primary Outcomes
Success rate (%)
Time Frame: during Swan-Ganz catheterization procedure
Success rate in placement of Swan-Ganz catheter placement into the pulmonary artery
trial number (n)
Time Frame: during Swan-Ganz catheterization procedure
trial number to success placement of Swan-Ganz catheter placement into the pulmonary artery.
required time (seconds)
Time Frame: during Swan-Ganz catheterization procedure
total time to success Swan-Ganz catheter placement into the pulmonary artery
Secondary Outcomes
- direction of placement of Swan-Ganz catheter (n)(during Swan-Ganz catheterization procedure)
- incidence of arrhythmia (n)(during Swan-Ganz catheterization procedure)
Investigators
Jung-Man Lee
Clinical assistant professor
Seoul National University Hospital