Accuracy of CVC Depth Prediction in Internal Jugular Veins: The Difference Between The Andropoulos and ECG Methods

NCT ID: NCT04215250

Last Updated: 2020-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-12

Study Completion Date

2020-06-12

Brief Summary

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compare the accuracy of CVC depth prediction in internal jugular veins: the difference between the andropoulos and ECG methods

Detailed Description

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seventy two subjects were given informed consent before the study started. compare the accuracy of CVC depth prediction in internal jugular veins with two difference methods, the andropoulos method and ECG method.

Conditions

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Depth of CVC Insertion

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Andropulous method

Andropulous method uses equations to determine the depth of CVC insertion.

For subject with \<100 cm in height:

Depth of CVC insertion (cm) = (height (cm)/ 10)-1

For subject with \>100 cm in height:

Depth of CVC insertion (cm) = (height (cm)/ 10)-2

Group Type ACTIVE_COMPARATOR

andropulous method

Intervention Type OTHER

Counts the CVC depth using specific equation

ECG method

change in p wave from ECG

Group Type ACTIVE_COMPARATOR

ECG

Intervention Type DEVICE

Using ECG to monitor the insertion of the CVC

Interventions

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ECG

Using ECG to monitor the insertion of the CVC

Intervention Type DEVICE

andropulous method

Counts the CVC depth using specific equation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* signing informed consent form
* indicated for CVC insertion
* has no contraindication for right internal jugular vein CVC insertion

Exclusion Criteria

* has history of arrhythmia
* has cardiac malformation history
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Aida Rosita Tantri

Anesthesiologist Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aida R Tantri

Role: PRINCIPAL_INVESTIGATOR

Indonesia University

Locations

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Cipto Mangunkusumo Cental National Hospital

Jakarta, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Wang L, Liu ZS, Wang CA. Malposition of Central Venous Catheter: Presentation and Management. Chin Med J (Engl). 2016 Jan 20;129(2):227-34. doi: 10.4103/0366-6999.173525. No abstract available.

Reference Type RESULT
PMID: 26830995 (View on PubMed)

Chaskar V, Karnik PP, Dave NM, Garasia M. Comparative Study of Three Methods for Depth of Central Venous Catheter Placement in Children: An Observational Pilot Study. Turk J Anaesthesiol Reanim. 2018 Apr;46(2):116-120. doi: 10.5152/TJAR.2018.32748. Epub 2018 Apr 1.

Reference Type RESULT
PMID: 29744246 (View on PubMed)

Kwon HJ, Jeong YI, Jun IG, Moon YJ, Lee YM. Evaluation of a central venous catheter tip placement for superior vena cava-subclavian central venous catheterization using a premeasured length: A retrospective study. Medicine (Baltimore). 2018 Jan;97(2):e9600. doi: 10.1097/MD.0000000000009600.

Reference Type RESULT
PMID: 29480861 (View on PubMed)

Sharma D, Singh VP, Malhotra MK, Gupta K. Optimum depth of central venous catheter - Comparision by pere's, landmark and endocavitory (atrial) ECG technique: A prospective study. Anesth Essays Res. 2013 May-Aug;7(2):216-20. doi: 10.4103/0259-1162.118966.

Reference Type RESULT
PMID: 25885836 (View on PubMed)

Na HS, Kim JT, Kim HS, Bahk JH, Kim CS, Kim SD. Practical anatomic landmarks for determining the insertion depth of central venous catheter in paediatric patients. Br J Anaesth. 2009 Jun;102(6):820-3. doi: 10.1093/bja/aep078. Epub 2009 Apr 19.

Reference Type RESULT
PMID: 19380312 (View on PubMed)

Kremser J, Kleemann F, Reinhart K, Schummer W. Optimized method for correct left-sided central venous catheter placement under electrocardiographic guidance. Br J Anaesth. 2011 Oct;107(4):567-72. doi: 10.1093/bja/aer189. Epub 2011 Jun 22.

Reference Type RESULT
PMID: 21697183 (View on PubMed)

Andropoulos DB, Bent ST, Skjonsby B, Stayer SA. The optimal length of insertion of central venous catheters for pediatric patients. Anesth Analg. 2001 Oct;93(4):883-6. doi: 10.1097/00000539-200110000-00016.

Reference Type RESULT
PMID: 11574350 (View on PubMed)

Struck MF, Schmidt T, Winkler BE, Reinhart K, Schummer W. Formulas for prediction of insertion depths of internal jugular vein catheters adjusted to body height categories. J Vasc Access. 2016 Mar-Apr;17(2):191-4. doi: 10.5301/jva.5000488. Epub 2015 Dec 7.

Reference Type RESULT
PMID: 26660038 (View on PubMed)

Other Identifiers

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IndonesiaUAnes 042

Identifier Type: -

Identifier Source: org_study_id

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