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| Name | Class |
|---|---|
| Sykehuset Innlandet HF | OTHER |
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This study will provide further knowledge concerning the use of electrocardiography (ECG) signals for verification of peripherally inserted central catheter (PICC) tip placement. Furthermore, it will be investigating whether use of Intravascular ECG (IVECG) for this verification is just as good as or even better than the current standard method with chest X-ray. This can help promote a method that involves less radiation and increased safety for patients, while at the same time saving resources. If use of ECG signals from the PICC tip is an equally exact method for verification of correct PICC tip placement as chest X-ray verification, the IVECG could replace chest X-ray control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IVECG and chest X-ray | Experimental | The patients in this group will be examined with perioperative IVECG for PICC tip placement, as well as standard postoperative chest X-ray. |
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| Standard | Active Comparator | Standard method, PICC tip placement confirmed by postoperative chest X-ray . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IVECG | Device | Monitoring IVECG signals for verification for exact tip placement during the actual insertion of the PICC. When the p-wave amplitude increases the PICC-tip is in the superior vena cava. When max positive amplitude, the PICC-tip is by definition at the cavo atriale junction, and thereby in correct position. |
| Measure | Description | Time Frame |
|---|---|---|
| PICC-tip placement examined by chest X-ray | Placement of PICC-tip examined by chest X-ray both in observation group and in control group. A radiologist will examine the distance from the tracheal carina to the PICC-tip, and this measure will be registered in mm in both groups. Further the radiologist will be answering a questionnaire regarding "correct placement of PICC-tip", YES or NO, which is defined as in the lower 1/3 of the superior vena cava or at the cavo atrial junction. Last also the anesthesiologist will be answering following question: Is the PICC-tip placement acceptable? YES or NO | 45 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Baard Olav Jensen, MD,PhD | Sykehuset Innlandet HF | Study Chair |
| Jon Magnussen, prof | NTNU, MH, Masterutdanning | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Innlandet Hospital Trust Lillehammer | Lillehammer | Oppland | 2611 | Norway |
This is a small project that will not produce any large amount of data. Thus, sharing data for other projects than described to the ethical committee is not relevant. So this is not the plan at this moment.
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| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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RCT, two groups
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The radiologist is masked/blinded in this clinical trial.
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| Chest X-ray | Device | Standard method; PICC confirmed by chest X-ray after the insertion (postoperatively) |
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