In the prevention of thrombosis related to catheter placement it is important to have a right position of the catheter tip. Therefor we want to assess which technique is the most successful in the placing of a PICC.
This is a randomised prospective single blinded study. All adult patients with an indication for PICC placement can be included. Patients will be randomised into two groups, one with ECG-guided placement followed by ultrasound control and the other with only ultrasound guided placement. After placement, in both groups, control radiography of the chest will be done which will be interpreted by an independent radiologist. For the ECG-guided group the ultrasound control of the tip position will be done by an independent, blind operator, after placement. For the only ultrasound guided placement group, the ultrasound will be done by a second operator during placement.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
10
Comparison of placement of a PICC (Peripherally Inserted Central Catheter) by ECG-guidance vs. ULTRASOUND-guidance
Comparison of placement of a PICC (Peripherally Inserted Central Catheter) by ECG-guidance vs. ULTRASOUND-guidance
Universitair Ziekenhuis Brussel
Jette, Brussels Capital, Belgium
Number of participants with correct placement in the superior caval vein during PICC insertion, after either ECG or ultrasound guided insertion
The aim of the study is a comparison between two techniques to control correct positioning of the PICC
Time frame: Whitin 5 minutes after catheter-placement
Duration of PICC-placement by ECG-guidance versus ultrasound-guidance
Time frame: within 5 minutes
frequency of necessity of replacement after chest-x-ray control
PICC tip should be located in the superior caval vein, close to the entrance of the right atrium. Other locations lead to repositioning.
Time frame: 1 day
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