Central venous catheter (CVC) is an essential tool in the management of both medical and surgical patients. Establishing venous access is critically important and is sometimes technically challenging. Among the many indications for point of care ultrasound (POCUS), ultrasound-guided venous catheter placement is well described and increasingly used. This study was designed to evaluate the utility of peri procedural transthoracic echocardiography (TTE) as a tool for positioning CVC and for ruling out complications.
Central venous catheter (CVC) is an essential tool in the management of both medical and surgical patients. Establishing venous access is critically important and is sometimes technically challenging. Among the many indications for point of care ultrasound (POCUS), ultrasound-guided venous catheter placement is well described and increasingly used. This study was designed to evaluate the utility of peri procedural transthoracic echocardiography (TTE) as a tool for positioning CVC and for ruling out complications. The study population will be screened at the internal wards and medical intensive care unit of Soroka Medical Center. Research candidates' files will be screened routinely by a study coordinator. The study population will be enrolled according to the inclusion and exclusion criteria. The primary objective for the study is to evaluate whether the use of POCUS in CVC insertion can help inaccurate CVC tip placement, detect misplacement and complications and better than chest X ray.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
186
Use of point of care ultrasound in insertion of CVC
Soroka University Medical Center
Beersheba, Israel
Rate of misplacement of the tip of CVC.
Time frame: 6 months
Rate of ventricular arrhythmia during line insertion while using POC US
Time frame: 6 months
Duration time of CVC insertion using POC US
Time frame: 6 months
Number of CVC insertion complications using POC US
Time frame: 6 months
Sensitivity (score-the device's ability to identify a condition correctly) of POC US in detection of CVC insertion complications
Time frame: 6 months
Specificity (score-the device's ability to exclude a condition correctly) of POC US in detection of CVC insertion complications
Time frame: 6 months
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