Suitability of PICC for Transpulmonary Thermodilution Compared to CICC

Fondazione Policlinico Universitario Agostino Gemelli IRCCS20 enrolled

Overview

Peripherally inserted central catheters (PICCs) are increasingly used in intensive care unit (ICU) as an alternative to centrally inserted central catheters (CICCs) for intravenous infusion. In the present study we try to assess their reliability for measuring cardiac index (CI) with trans-pulmonary thermodilution (TPTD) technique.

Study Type

INTERVENTIONAL

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Peripherally Inserted Central Catheters CVC Transpulmonary Thermodilution Hemodynamic Monitoring

Interventions

transpulmonary thermodilutionDIAGNOSTIC_TEST

Thermodilution was attempted via PICC and via CICC

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * adult patients (≥18 years) admitted to the ICU * Patients requiring hemodynamic monitoring using EV1000TM * Patients having both PICC and CICC in place (these patients had their PICC replaced with a CICC, usually at the time of ICU admission, or vice versa, usually at the end of their ICU stay, and were enrolled immediately after the placement of the new device before the previous one was removed) Exclusion Criteria: * body weight \<40 kg * severe aortic regurgitation or intra-cardiac shunt * treatment with an intra-aortic balloon pump * contraindication for placement of PICC, CICC or a femoral arterial catheter * abdominal aneurism * extracorporeal circulation * pregnancy * lack of informed consent

Locations (1)

Fondazione Policlinico Universitario A. Gemelli IRCCS

Roma, Italy

Outcomes

Primary Outcomes

Cardiac Index comparison via PICC

comparison of hemodynamic measurements made by the TPTD from the VolumeView/EV1000TM system via PICC vs. CICC.

Time frame: One hour

Secondary Outcomes

Comparison 4Fr PICCs to CICC

Comparison of single-lumen 4 Fr PICCs to CICC in their reliability of assessing cardiac output

Time frame: one hour

Comparison 5Fr PICCs to CICC

Comparison of dual-lumen 5 Fr PICCs to CICC in their reliability of assessing cardiac output

Time frame: one hour

Data from ClinicalTrials.gov

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