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Central Venous Catheter Placement With Thoracic Ultrasound and Intracavity ECG Positioning
Sponsor: York Teaching Hospitals NHS Foundation Trust
Summary
The goal of this interventional study is to assess the feasibility of two bedside techniques for confirming central venous catheter (CVC) placement and detecting complications: * Intracavity ECG monitoring to confirm internal jugular vein CVC tip position. * Thoracic point-of-care ultrasound (POCUS) to rule out pneumothorax following CVC insertion. Participants who require an internal jugular CVC as part of their routine care and meet all inclusion and no exclusion criteria will be randomised to receive either: * Standard care, or * The intervention, consisting of intracavity ECG guidance and thoracic POCUS. The CVC will be inserted either on the left or right side of the neck. All participants will undergo a post-procedure chest X-ray regardless of study arm, to allow comparison of the intervention methods with standard care.
Official title: A Randomised Feasibility Study of Real-time Intracavity ECG and Thoracic Ultrasound for Central Venous Catheter Tip Confirmation in Critical Care
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
75
Start Date
2026-01
Completion Date
2027-01
Last Updated
2025-12-18
Healthy Volunteers
No
Conditions
Interventions
Intracavity ECG
Vygon PILOT TLS (Tip Location System) used to provide intracavity ECG monitoring for central venous catheter tip positioning.
Thoracic point of care ultrasound
Thoracic point of care ultrasound used to scan both lung fields to rule out pneumothorax
Locations (1)
York and Scarborough Teaching Hospitals NHS Foundation Trust
York, North Yorkshire, United Kingdom