Peripherally inserted central catheter (PICC) tip confirmation with echocardiography using Rapid atrial swirl sign - An observational study.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- To calculate sensitivity and specificity of rapid right atrial swirl sign in subcostal bicaval view during echocardiography
研究概览
简要总结
The incidence of post-insertion PICC tip malposition is 7.8-18 %. The catheter tip malposition can lead to complications, including arrhythmias, precordial discomfort, cardiac tamponade and heart valve damage, swelling, pain in the limb on the affected side, etc. Thus, confirming the correct positioning of PICC in the superior vena cava (SVC) at or before the junction with the right atrium is obligatory. The most common method to ensure correct PICC tip position is the post-procedural chest x-ray (CXR) or considering fluoroscopy-guided insertion. Traditionally, post-procedure chest X-ray has been considered “ Gold standardâ€. Ultrasound guidance has become a routine practice to guide PICC insertion. However, the use of point of care ultrasound to confirm the correct position of the PICC tip in adults is limited.This study aims to find the diagnostic accuracy of rapid atrial swirl signs in subcostal bicaval viewin bedside echocardiography to detect optimal PICC tip position.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patients of either gender, aged 18-65 years, who are planned for ultrasound-guided peripherally inserted central catheter insertion on either side.
排除标准
- •Known case of structural heart disease Patients with a pacemaker and/or implantable cardioverter-defibrillator Rhythm abnormalities History of thoracic surgeries or trauma History of heart or great vessel surgery Hemodynamically unstable patients Body Mass Index > 30 Postoperative patients underwent abdominal surgeries, head and neck surgeries.
结局指标
主要结局
To calculate sensitivity and specificity of rapid right atrial swirl sign in subcostal bicaval view during echocardiography
时间窗: Immediatley after PICC line insertion.
次要结局
- To Calculate the positive predictive value & negative predictive value of the rapid(atrial swirl sign in the subcostal bicaval view duing echocardiography)
- To describe characteristics of the RASS with different PICC tip positions on chest X-ray.(Immediately after PICC line insertion)
- To find the incidence of malposition after USG-guided PICC insertion.(Immediately after PICC line insertion)
研究者
Indubala Maurya
Kalyan Singh Super Specialty Cancer Institute