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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ECG-guided insertion of PICC | Active Comparator | Placement of the PICC (Peripherally Inserted Central Catheter ) ECG-guided insertion. |
|
| ULTRASOUND-guided insertion of PICC | Experimental | Placement of the PICC (Peripherally Inserted Central Catheter ) ULTRASOUND-guided. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ECG-guided insertion of PICC | Device | Comparison of placement of a PICC (Peripherally Inserted Central Catheter) by ECG-guidance vs. ULTRASOUND-guidance |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 | Whitin 5 minutes after catheter-placement |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of PICC-placement by ECG-guidance versus ultrasound-guidance | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lucie Choustoulakis, MD | Department of Anaestesiology and Perioperative Medicine Acute and Chronic Pain Therapy. | Principal Investigator |
| Jan Poelaert, MD, PhD | Department of Anaestesiology and Perioperative Medicine Acute and Chronic Pain Therapy. | Study Chair |
| Matthias Raes, MD | Department of Anaestesiology and Perioperative Medicine Acute and Chronic Pain Therapy. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitair Ziekenhuis Brussel | Jette | Brussels Capital | 1090 | Belgium |
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| ID | Term |
|---|---|
| D007239 | Infections |
| D009369 | Neoplasms |
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ULTRASOUND-guided insertion of PICC | Device | Comparison of placement of a PICC (Peripherally Inserted Central Catheter) by ECG-guidance vs. ULTRASOUND-guidance |
|
| 1 day |