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Peripherally Inserted Versus Centrally Inserted Central Venous Catheters in the Neurological Intensive Care

Phase 3
Completed
Conditions
Venous Thrombosis
Interventions
Procedure: Central venous catheter
Registration Number
NCT01495429
Lead Sponsor
University of Michigan
Brief Summary

The investigators aim to compare the complications between centrally and peripherally inserted central venous catheters in neurological intensive care unit patients. The study hypothesis is that peripherally inserted catheters will have more cumulative complications due to venous thrombosis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • all patients age > 18, admitted to the neurological ICU who are require a de novo central venous catheter as standard of care and in which a double lumen 5f PICC or CICVC (triple lumen, 7f) are acceptable for the indication.
  • the patients must be expected to survive and need a central venous catheter for at least 7 days.
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Exclusion Criteria
  • prisoner
  • age < 18
  • expected to die or have care withdrawn prior to ICU day 7
  • requiring an emergent central venous catheter
  • suspected bacteremia
  • recent central venous catheter within the last 30 days
  • patients who are not a candidate for bedside placement of either a CICVC or PICC line
  • patients with renal insufficiency with creatinine level greater than 3.0 mg/dL (265.2 m mol/L) or who were undergoing hemodialysis
  • patients requiring a central venous catheter for prolonged antibiotic therapy\
  • patient who the treating clinician feels clearly needs one particular type of catheter over the other
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CICVC (central insertion)Central venous catheterplacement of a centrally inserted central venous catheter
PICC line (Peripherally)Central venous catheterplacement of a picc line
Primary Outcome Measures
NameTimeMethod
The composite of death or catheter related large vein thrombosis15 days
Secondary Outcome Measures
NameTimeMethod
Cumulative catheter related complications until discharge30 days

Trial Locations

Locations (2)

University of Michigan Health System

🇺🇸

Ann Arbor, Michigan, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

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