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Accuracy of TTE-guided central venous catheter tip positioning - a clinical study using TEE as a reference in children having cardiac surgery

Recruiting
Conditions
CVC misplacement
Registration Number
DRKS00028271
Lead Sponsor
niversitätsklinikum Hamburg Eppendorf
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
155
Inclusion Criteria

We will include children (ages 0-14 years) scheduled for elective cardiac surgery under general anesthesia at the University Heart Center Hamburg-Eppendorf in whom CVC placement and TEE monitoring are indicated for clinical reasons unrelated to the study.

Exclusion Criteria

We will exclude patients with venous malformations or anatomic variations that are known to impair TTE/ TEE views (e.g., Glenn anatomy).

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Accuracy of TTE-guided CVC tip position (using TEE as reference method) in children having cardiac surgery. We will define correct CVC tip position as:<br>• CVC tip can be visualized in the proximal superior vena cava using TEE (accordingly, the distance between CVC tip and RA-SVC junction is between 1-4 cm)<br>• CVC tip does not enter the right atrium (is above the RA-SVC junction)
Secondary Outcome Measures
NameTimeMethod
As secondary endpoints, we will describe the proportion of patients in whom <br>- TTE allows guidewire identification <br>- TEE allows guidewire identification <br>- TTE allows CVC tip identification <br>- TEE allows CVC tip identification <br>- TTE allows RA-SVC junction identification<br>- TEE allows RA-SVC junction identification
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