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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02178423
Other study ID # 1059/2014
Secondary ID 1059/2014
Status Completed
Phase N/A
First received June 11, 2014
Last updated June 8, 2015
Start date June 2014
Est. completion date June 2015

Study information

Verified date June 2015
Source Medical University of Vienna
Contact n/a
Is FDA regulated No
Health authority Austria: Ethikkommission
Study type Interventional

Clinical Trial Summary

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.


Description:

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.


Recruitment information / eligibility

Status Completed
Enrollment 20
Est. completion date June 2015
Est. primary completion date June 2015
Accepts healthy volunteers No
Gender Both
Age group N/A to 8 Years
Eligibility Inclusion Criteria:

- Infants and children aged between 0 and 8 years requiring a central venous catheter. The planned sample size is 20 subjects. The indication for a CVC, will be determined by the attending physician.

Inclusion criteria:

- Infants (inclusive early and late preterm) and children aged between 0 and 8 years

- Necessity of a central venous catheter

- Written informed consent given by parents after being provided with detailed information about the nature, risks, and scope of the catheterization

- No legal incapacity and/or other circumstances rendering the parents unable to understand the nature, scope and possible consequences of the catheterization

Exclusion Criteria:

- Parents refusal

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Diagnostic


Related Conditions & MeSH terms

  • Ultrasound for Diagnosis of CVC Position in Children

Intervention

Procedure:
Ultrasound for diagnosis of CVC position in children
Using the ultrasound for diagnosis of the correct position of a central venous catheter in children immediate after the puncture.

Locations

Country Name City State
Austria Medical University of Vienna Vienna

Sponsors (1)

Lead Sponsor Collaborator
Medical University of Vienna

Country where clinical trial is conducted

Austria, 

Outcome

Type Measure Description Time frame Safety issue
Primary 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. Yes
Secondary 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. Yes