The Use of Point of Care Ultra Sound for Correct Placement of Central Venous Catheter and for the Detection of Complications
试验速览
- 阶段
- 不适用
- 入组人数
- 186
- 试验地点
- 1
- 主要终点
- Rate of misplacement of the tip of CVC.
研究概览
简要总结
Central venous catheter (CVC) is an essential tool in the management of both medical and surgical patients. Establishing venous access is critically important and is sometimes technically challenging. Among the many indications for point of care ultrasound (POCUS), ultrasound-guided venous catheter placement is well described and increasingly used. This study was designed to evaluate the utility of peri procedural transthoracic echocardiography (TTE) as a tool for positioning CVC and for ruling out complications.
详细描述
Central venous catheter (CVC) is an essential tool in the management of both medical and surgical patients. Establishing venous access is critically important and is sometimes technically challenging. Among the many indications for point of care ultrasound (POCUS), ultrasound-guided venous catheter placement is well described and increasingly used. This study was designed to evaluate the utility of peri procedural transthoracic echocardiography (TTE) as a tool for positioning CVC and for ruling out complications.
The study population will be screened at the internal wards and medical intensive care unit of Soroka Medical Center.
Research candidates' files will be screened routinely by a study coordinator. The study population will be enrolled according to the inclusion and exclusion criteria.
The primary objective for the study is to evaluate whether the use of POCUS in CVC insertion can help inaccurate CVC tip placement, detect misplacement and complications and better than chest X ray.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted to internal ward or medical intensive care unit
- •Patients in need for central venous catheter in the subclavian or internal jugular veins
排除标准
- •Subject currently enrolled in another investigational study
- •Surgical patients with open abdomen covered with bogota bag or vac - pac
- •Patients with pneumothorax prior to central venous catheter insertion
- •Patients in need for central venous catheter for hemodialysis
结局指标
主要结局
Rate of misplacement of the tip of CVC.
时间窗: 6 months
次要结局
- Rate of ventricular arrhythmia during line insertion while using POC US(6 months)
- Duration time of CVC insertion using POC US(6 months)
- Number of CVC insertion complications using POC US(6 months)
- Sensitivity (score-the device's ability to identify a condition correctly) of POC US in detection of CVC insertion complications(6 months)
- Specificity (score-the device's ability to exclude a condition correctly) of POC US in detection of CVC insertion complications(6 months)