Ignite Creation Date:
2024-05-05 @ 5:04 PM
Last Modification Date:
2024-10-26 @ 9:28 AM
Study NCT ID:
NCT00388375
Status:
TERMINATED
Last Update Posted:
2014-10-20
First Post:
2006-10-12
Brief Title:
Can Ultrasound be Used to Verify CVC Position and to Exclude Pneumothorax
Sponsor:
Christiana Care Health Services
Organization:
Christiana Care Health Services
Study Overview
Official Title:
Can Ultrasound be Used as an Alternative to Chest Radiography After Central Venous Catheter Insertion to Confirm Proper Catheter Position and to Exclude Pneumothorax
Status:
TERMINATED
Status Verified Date:
2012-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not feasible did not have the study population
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine if emergency room physicians can use bedside ultrasound to quickly determine the proper placement of a central venous catheter and to evaluate for complications such as a punctured lung
Detailed Description:
Central venous catheterization CVC of the subclavian or internal jugular veins is a common procedure performed in the emergency department ED This procedure is followed by complications in 03 to 12 of cases Pneumothorax PTX and catheter-tip misplacement can occur The diagnosis of these complications requires a chest radiograph CXR In certain cases CXR may be time-consuming requiring more than 30 minutes This could be harmful in the case of critically ill patients Moreover several investigators have questioned the need of routine post-procedural CXR in the absence of clinical complications
Recent data has shown that ultrasound can accurately detect PTX in critically ill patients Furthermore bedside ultrasound is an easy technique to investigate the subclavian and internal jugular veins and can improve the success rate of catheter insertion Ultrasound also allows visualization of central venous catheters in vivo Ultrasound has been reported as a tool to detect catheterization complications and misplacement when performed by ICU physicians but has never been studied in the ED
This method could be valuable in hemodynamically unstable patients who quickly need a CVC for the measurement of central venous pressure immediate fluid resuscitation and infusion of vasoactive medications Similarly bedside ultrasound examination could quickly confirm PTX and allow immediate chest tube insertion in case of respiratory distress after catheter insertion
We hypothesize that bedside ultrasound examination performed by ED physicians could accurately detect placement of the CVC and the presence or absence of a PTX after catheterization of the jugular and subclavian veins
Recent data has shown that ultrasound can accurately detect PTX in critically ill patients Furthermore bedside ultrasound is an easy technique to investigate the subclavian and internal jugular veins and can improve the success rate of catheter insertion Ultrasound also allows visualization of central venous catheters in vivo Ultrasound has been reported as a tool to detect catheterization complications and misplacement when performed by ICU physicians but has never been studied in the ED
This method could be valuable in hemodynamically unstable patients who quickly need a CVC for the measurement of central venous pressure immediate fluid resuscitation and infusion of vasoactive medications Similarly bedside ultrasound examination could quickly confirm PTX and allow immediate chest tube insertion in case of respiratory distress after catheter insertion
We hypothesize that bedside ultrasound examination performed by ED physicians could accurately detect placement of the CVC and the presence or absence of a PTX after catheterization of the jugular and subclavian veins
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None