Correct Tip Position of Central Venous Catheters

NCT05176886 | Completed DMC

• 1 other identifier: Catheter
• Study Type: observational
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Patients, ages between 18-70 years, who require central venous catheter will be enrolled for the study. Central venous catheter will be inserted using patient's height formula by Seldinger technique. Anterioposterior chest radiography will be used to assess the correct tip position. Catheters that are below the carina more than 1 cm, will be pulled back for repositioning. Catheters that are above the carina more than 1 cm, will be changed by another catheter. The investigators aim to evaluate the formula for correct tip positioning for central venous catheters

Conditions

Central Venous Catheter; Internal Jugular Vein; Radiography; Subclavian Vein Injury

Keywords

central venous catheter insertion; Peres' formula; correct tip position; carina

Outcome Measures

Primary Outcomes (1)

• Number of correct position of central venous catheter tip

  Central venous catheter tip should be placed at the superior vena cava and right atrium junction. This junction is defined as carina in anteroposterior chest x-ray imagining. Correct tip position is defined as 1 cm above and 1 cm below the carina.Postprocedural chest radiography will be used.

  Within 6 hours after placement of central venous catheter

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients in intensive care unit and operating room who require a central venous catheter (right or left-sided) will be enrolled for the study.

You may qualify if:

• Central venous catheterization of patients, ages between 18 and 70

You may not qualify if:

• Patient's refusal
• Pathology of carotid artery
• Anatomical deformity of the neck (scar, mass effect, multiple central venous catheterization)
• Chest deformities (pectus excavatum, pectus carinatum)

Sponsors & Collaborators

• Bozyaka Training and Research Hospital: lead

Study Sites (1)

Izmir Bozyaka Training and Research Hospital

Izmir, Turkey (Türkiye)

Location

Related Publications (3)

• Joshi AM, Bhosale GP, Parikh GP, Shah VR. Optimal positioning of right-sided internal jugular venous catheters: comparison of intra-atrial electrocardiography versus Peres' formula. Indian J Crit Care Med. 2008 Jan;12(1):10-4. doi: 10.4103/0972-5229.40943.

  PMID: 19826584 BACKGROUND

• Kujur R, Rao MS, Mrinal M. How correct is the correct length for central venous catheter insertion. Indian J Crit Care Med. 2009 Jul-Sep;13(3):159-62. doi: 10.4103/0972-5229.58543.

  PMID: 20040815 BACKGROUND

• Salimi F, Imani MR, Ghasemi N, Keshavarzian A, Jazi AH. The mid-sternal length, a practical anatomical landmark for optimal positioning of long-term central venous catheters. J Res Med Sci. 2013 May;18(5):383-6.

  PMID: 24174941 BACKGROUND

Study Officials

• Halide H Şahinkaya, MD

  Izmir Bozyaka Training and Research Hospital

  STUDY CHAIR

• Mine Parlak, MD

  Izmir Bozyaka Training and Research Hospital

  STUDY CHAIR

• Zeki T Tekgül, MD

  Izmir Bozyaka Training and Research Hospital

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, Anesthesiology Specialist

Study Record Dates

• First Submitted: November 27, 2021
• First Posted: January 4, 2022
• Study Start: July 8, 2018
• Primary Completion: January 1, 2022
• Study Completion: March 31, 2022
• Last Updated: May 12, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)