Point of Care Echocardiography Versus Chest Radiography for the Assessment of Central Venous Catheter Placement

NCT02661607 | Completed

• 1 other identifier: 1/3/14
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

A prospective study to compare the use of point of care echocardiography versus routine chest radiography for the assessment of central venous catheter placement.

Conditions

Central Venous Catheterization; Ultrasound; Emergency Medicine; Critical Care

Outcome Measures

Primary Outcomes (1)

• Adequate placement of the central venous catheter

  Participants will be followed for the period after the intervention to assess correct placement, an expected average of 2 hours

  2 hours

Secondary Outcomes (4)

• Time needed for the intervention (bedside echocardiography)

  5 Minutes

• Performance of residents as assessed by the time needed to perform the echocardiography

  5 Minutes

• Time needed for chest radiography to be performed

  2 hours

• Adverse Events

  24 hours

Study Arms (1)

Point of care echocardiography after central venous catheter

OTHER

Point of care echocardiography plus chest radiography

Procedure: Point of care echocardiography; Device: Central venous catheter placement; Procedure: Chest radiography

Interventions

Point of care echocardiography PROCEDURE

Point of echocardiography is performed after routine placement of central venous catheterization and compared with routine chest radiography

Point of care echocardiography after central venous catheter

Central venous catheter placement DEVICE

Central venous catheter placement is performed as per local guidelines in critically ill patients

Point of care echocardiography after central venous catheter

Chest radiography PROCEDURE

Routine chest radiography is performed after central venous catheter placement in critically ill patients

Point of care echocardiography after central venous catheter

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients who require central venous catheterization in critical care environments (ICU, IMC)
• patients (or legal guardian) who provide written informed consents
• patients aged 18 years or older

You may not qualify if:

• patients who are unable/unwilling to give informed consent

Sponsors & Collaborators

• University of Göttingen: lead

Study Sites (1)

University of Göttingen

Göttingen, 37075, Germany

Location

Related Publications (1)

• Korsten P, Mavropoulou E, Wienbeck S, Ellenberger D, Patschan D, Zeisberg M, Vasko R, Tampe B, Muller GA. The "rapid atrial swirl sign" for assessing central venous catheters: Performance by medical residents after limited training. PLoS One. 2018 Jul 16;13(7):e0199345. doi: 10.1371/journal.pone.0199345. eCollection 2018.

  PMID: 30011285 DERIVED

MeSH Terms

Interventions

Central Venous Catheters; X-Rays

Intervention Hierarchy (Ancestors)

Vascular Access Devices; Catheters; Equipment and Supplies; Electromagnetic Radiation; Electromagnetic Phenomena; Magnetic Phenomena; Physical Phenomena; Radiation; Radiation, Ionizing

Study Officials

• Peter Korsten, MD

  University Medical Center Göttingen, Department of Nephrology and Rheumatology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. med.

Study Record Dates

• First Submitted: June 17, 2015
• First Posted: January 22, 2016
• Study Start: October 1, 2014
• Primary Completion: January 1, 2016
• Study Completion: April 1, 2016
• Last Updated: July 23, 2019

Record last verified: 2019-07

Locations

DE (1)