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| ID | Type | Description | Link |
|---|---|---|---|
| 1059/2014 | Other Identifier | Ethics committee Medical University of Vienna |
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After the placement of a central venous catheter in children, a routine chest X-ray will be performed in order to examine the correct position of the catheter. In this feasibility study the investigators intend to evaluate whether the ultrasound is as sufficient as the chest X-ray to verify the correct position of the central venous catheter in children with the purpose to prevent radiation on children in the future.
For punctures of a central vein in very small children, ultrasound is an useful tool which allows for exact examination of the relevant anatomy in order to visualize the target vessel, so as to facilitate the puncture in real-time. However, to ascertain the correct position of the central venous catheter (CVC), a chest X-ray is still the gold standard. The main disadvantage of the X-ray is the children's exposure to radiation. That's why the investigators intend to perform this study whether the ultrasound is as sufficient as the chest X-ray to verify the correct position of a central venous catheter in children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound | Experimental | Ultrasound for diagnosis of CVC position in children |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound for diagnosis of CVC position in children | Procedure | Using the ultrasound for diagnosis of the correct position of a central venous catheter in children immediate after the puncture. |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnosis of the correct central venous catheter position. | Ultrasound imaging will be stored in mpeg format and deidentified for all examinations. The ultrasound movie will be split into five clips with a length of 5 seconds each (four clips with CVC not inserted but ultrasound head slightly moving and one clip with CVC in situ). The total of 110 clips is presented in random order to three blinded observers who classify these clips two times with a time gap of at least 2 weeks between the classifications. | After all patients have been included (three months), all clips of each participant will be presented to three blind observers, classifying these clips for two times and outcome measure will be assessed. |
| Measure | Description | Time Frame |
|---|---|---|
| Exclusion of a pneumothorax via ultrasound compared to chest X-ray | The chest X-ray and ultrasound will be performed in the post anesthesia care unit to rule out a pneumothorax. | At 30 to 60 minutes after central venous catheter insertion each participant will undergo chest ultrasound and chest X-ray. |
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Inclusion Criteria:
Inclusion criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Georg Roth, Prof. | Dep. of Anesthesia and Intensive Care Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna | Vienna | State of Vienna | 1090 | Austria |
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| ID | Term |
|---|---|
| D019220 | High-Energy Shock Waves |
| ID | Term |
|---|---|
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
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| D055585 |
| Physical Phenomena |