Ultrasound Guided Positioning of Central Venous Catheters
Study Details
Study Description
Brief Summary
The current standard for (correct) position control of a central venous catheter (CVC) is X-ray control, which is associated with X-rays for the patient. In some clinics, radiological services are not offered "around the clock". Therefore, an alternative that is not burdensome for patients and is available on all sides would be desirable. The possibility of a sonographic CVC position control is to be investigated.
The correct position of a central venous catheter is important. Complications/failure must be detected early/immediately. In addition to the X-ray of the thorax, a position control by means of an ECG derivative (α-card derivative) is available for position control. The method is easy to perform, but an epicardial or an arterial position of the CVC cannot be detected without the use of additional imaging in case of doubt.
For the reasons mentioned above, sonography is a suitable method to show the inflow of injected 0.9% sodium chloride solution into the right atrium, which allows to conclude the correct position of the CVC.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Other: Ultrasound
|
Diagnostic Test: Ultrasound
Using ultrasound control, the central vein catheter is injected with saline solution and the time to detect the saline bolus in the ultrasound is measured.
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Outcome Measures
Primary Outcome Measures
- - correlation between the time of detection of the injected saline bolus and radiological position of the central venous catheter [up to 5 seconds]
- ultrasound during injection of saline solution into a newly inserted central venous catheter
Eligibility Criteria
Criteria
Inclusion Criteria:
- elective insertion of a central venous catheter.
Exclusion Criteria:
- emergency insertion of a central venous catheter
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Neurologische Klinik Bad Salzhausen | Nidda | Germany | 63667 |
Sponsors and Collaborators
- Asklepios Neurological Clinic Bad Salzhausen
- Kerckhoff Klinik
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Schummer W, Herrmann S, Schummer C, Funke F, Steenbeck J, Fuchs J, Uhlig T, Reinhart K. Intra-atrial ECG is not a reliable method for positioning left internal jugular vein catheters. Br J Anaesth. 2003 Oct;91(4):481-6.
- Schummer W, Schummer C, Schelenz C, Brandes H, Stock U, Müller T, Leder U, Hüttemann E. Central venous catheters--the inability of 'intra-atrial ECG' to prove adequate positioning. Br J Anaesth. 2004 Aug;93(2):193-8. Epub 2004 Jun 25.
- CVC061120