Central Venous Pressure (CVP) Assessment by Ultrasound and Physical Examination
Use of Ultrasound to Determine Central Venous Pressure in Critically Ill Patients
1 other identifier
observational
38
1 country
1
Brief Summary
Ultrasound may be useful for noninvasively determining the central venous pressure. We intend to compare the clinical examination of the neck veins; ultrasound delineation of the internal jugular vein; and the central venous pressure measured with an intravascular catheter.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Aug 2007
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2010
CompletedFirst Submitted
Initial submission to the registry
March 26, 2010
CompletedFirst Posted
Study publicly available on registry
April 6, 2010
CompletedApril 6, 2010
March 1, 2010
2.6 years
March 26, 2010
April 5, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Correlation of CVP measurement via ultrasound and central venous catheter
CVP as determined non-invasively with the transcutaneous ultrasound probe will correlate with a high degree of accuracy to the measurement obtained invasively by the catheter and pressure transducer.
At data collection: this is a physiologic study
Secondary Outcomes (1)
Correlation of CVP measurement via physical examination of IJV and EJV.
At data collection: physiologic study
Eligibility Criteria
Patients admitted to Intensive care unit.
You may qualify if:
- adult medical or surgical ICU patients who have preexisting central venous (jugular/subclavian only) catheters.
You may not qualify if:
- subjects with only a femoral venous catheter.
- subjects whose CVP measurement by the indwelling catheter exceeds 20cm of water.
- subjects younger than 18 years old.
- inability to obtain informed consent from the subject or the subjects authorized representative.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Iowa
Iowa City, Iowa, 52246, United States
Related Publications (9)
Baumann UA, Marquis C, Stoupis C, Willenberg TA, Takala J, Jakob SM. Estimation of central venous pressure by ultrasound. Resuscitation. 2005 Feb;64(2):193-9. doi: 10.1016/j.resuscitation.2004.08.015.
PMID: 15680529BACKGROUNDBazaral M, Harlan S. Ultrasonographic anatomy of the internal jugular vein relevant to percutaneous cannulation. Crit Care Med. 1981 Apr;9(4):307-10. doi: 10.1097/00003246-198104000-00004.
PMID: 7214938BACKGROUNDCook DJ. Clinical assessment of central venous pressure in the critically ill. Am J Med Sci. 1990 Mar;299(3):175-8. doi: 10.1097/00000441-199003000-00006.
PMID: 2316561BACKGROUNDDavison R, Cannon R. Estimation of central venous pressure by examination of jugular veins. Am Heart J. 1974 Mar;87(3):279-82. doi: 10.1016/0002-8703(74)90064-7. No abstract available.
PMID: 4812363BACKGROUNDLipton B. Estimation of central venous pressure by ultrasound of the internal jugular vein. Am J Emerg Med. 2000 Jul;18(4):432-4. doi: 10.1053/ajem.2000.7335.
PMID: 10919533BACKGROUNDLipton BM. Determination of elevated jugular venous pressure by real-time ultrasound. Ann Emerg Med. 1999 Jul;34(1):115. doi: 10.1016/s0196-0644(99)70287-8. No abstract available.
PMID: 10409088BACKGROUNDRizvi K, Deboisblanc BP, Truwit JD, Dhillon G, Arroliga A, Fuchs BD, Guntupalli KK, Hite D, Hayden D; NIH/NHLBI ARDS Clinical Trials Network. Effect of airway pressure display on interobserver agreement in the assessment of vascular pressures in patients with acute lung injury and acute respiratory distress syndrome. Crit Care Med. 2005 Jan;33(1):98-103; discussion 243-4. doi: 10.1097/01.ccm.0000150650.70142.e9.
PMID: 15644654BACKGROUNDVinayak AG, Levitt J, Gehlbach B, Pohlman AS, Hall JB, Kress JP. Usefulness of the external jugular vein examination in detecting abnormal central venous pressure in critically ill patients. Arch Intern Med. 2006 Oct 23;166(19):2132-7. doi: 10.1001/archinte.166.19.2132.
PMID: 17060544BACKGROUNDDeol GR, Collett N, Ashby A, Schmidt GA. Ultrasound accurately reflects the jugular venous examination but underestimates central venous pressure. Chest. 2011 Jan;139(1):95-100. doi: 10.1378/chest.10-1301. Epub 2010 Aug 26.
PMID: 20798190DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Gregory A Schmidt
Roy J. & Lucille A. Carver College of Medicine, University of Iowa
Study Design
- Study Type
- observational
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 26, 2010
First Posted
April 6, 2010
Study Start
August 1, 2007
Primary Completion
March 1, 2010
Study Completion
March 1, 2010
Last Updated
April 6, 2010
Record last verified: 2010-03