Venous Site for Central Catheterization

University Hospital, Caen3,471 enrolled

Overview

Central venous catheters are needed in the critical care setting to administer drugs. Three sites are available to gain vascular access: subclavian, internal jugular and femoral. Each site has complications, but there is no randomized controlled study which compared the 3 sites. The investigators hypothesis is that subclavian catheterization reduces the risk of major complications compared to internal jugular or femoral.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

3,471

Conditions

Critical Care Catheterization ICU

Interventions

Randomization of the site for catheterizationPROCEDURE

Ultra-sound guided insertion strongly recommended

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient admitted in the Intensive Care Unit * Requiring Central Venous Catheterization Exclusion Criteria: * Patients with only one site available

Locations (5)

Medical Intensive Care Unit, CHU Caen

Caen, France

Surgical Intensive Care Unit, CHU Caen

Caen, France

Medical Intensive Care Unit, Cochin, AP-HP

Paris, France

Médical Intensive Care Unit, Lariboisière, AP-HP

Paris, France

Outcomes

Primary Outcomes

Major complications including catheter-related bloodstream infection

Catheter-related bloodstream infection: (positive catheter-tip quantitative culture plus positive peripheral blood culture(s))

Time frame: From central catheter insertion to 48-h after removal

Data from ClinicalTrials.gov

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