May Intravascular Electrocardiography (IVECG) During Insertion of Peripheral Inserted Central-venous Catheters (PICC-line) Replace Chest X-ray?
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Catheterization, Peripheral
- Sponsor
- Norwegian University of Science and Technology
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- PICC-tip placement examined by chest X-ray
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This study will provide further knowledge concerning the use of electrocardiography (ECG) signals for verification of peripherally inserted central catheter (PICC) tip placement. Furthermore, it will be investigating whether use of Intravascular ECG (IVECG) for this verification is just as good as or even better than the current standard method with chest X-ray. This can help promote a method that involves less radiation and increased safety for patients, while at the same time saving resources. If use of ECG signals from the PICC tip is an equally exact method for verification of correct PICC tip placement as chest X-ray verification, the IVECG could replace chest X-ray control.
Investigators
Eligibility Criteria
Inclusion Criteria
- •In need for PICC
- •\>18 years old
- •Competent to give consent
Exclusion Criteria
- •Not visible p-wave on surface ECG (electrocardiograph)
- •Patients with known Atrial fibrillation or atrial flutter
- •Implanted pacemaker (PM) and/or implanted Implantable Cardioverter Defibrillator (ICD)
- •Not signed written informed consent
Outcomes
Primary Outcomes
PICC-tip placement examined by chest X-ray
Time Frame: 45 minutes
Placement of PICC-tip examined by chest X-ray both in observation group and in control group. A radiologist will examine the distance from the tracheal carina to the PICC-tip, and this measure will be registered in mm in both groups. Further the radiologist will be answering a questionnaire regarding "correct placement of PICC-tip", YES or NO, which is defined as in the lower 1/3 of the superior vena cava or at the cavo atrial junction. Last also the anesthesiologist will be answering following question: Is the PICC-tip placement acceptable? YES or NO