The Use of Point of Care Ultra Sound for Correct Placement of Central Venous Catheter

Not Applicable

• Conditions: Central Venous Catheter
• Interventions: Device: POC US

• Registration Number: NCT02472132
• Lead Sponsor: Soroka University Medical Center

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study First Submitted: 2015-05-18
• Study First Submitted QC: 2015-06-10
• Study First Posted: 2015-06-15
• Study Start: 2015-07
• Status Verified: 2016-03
• Last Update Submitted: 2016-03-15
• Last Update Posted: 2016-03-16
• Primary Completion: 2016-10
• Study Completion: 2017-07

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 186

Inclusion Criteria

1. Patients admitted to internal ward or medical intensive care unit
2. Patients in need for central venous catheter in the subclavian or internal jugular veins

Exclusion Criteria

1. Subject currently enrolled in another investigational study
2. Surgical patients with open abdomen covered with bogota bag or vac - pac
3. Patients with pneumothorax prior to central venous catheter insertion
4. Patients in need for central venous catheter for hemodialysis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	POC US	Prospective implantation of POC US for CVC tip placement.

Primary Outcome Measures

Name	Time	Method
Rate of misplacement of the tip of CVC.	6 months

Secondary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Soroka University Medical Center; 🇮🇱 Beer Sheva, Israel