Central Line Study

Montefiore Medicine Academic Health System

Status and phase: Enrolling; Phase 4

Conditions: Shock

Treatments: Procedure: Central venous catheter insertion

Study type: Interventional

Funder types: Other

Identifiers

NCT05534971

2022-14157

Details and patient eligibility

About

Two different techniques for placing a central venous catheter will be compared.

Enrollment: 160 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Adult patients in the emergency department who require ultrasound guided central line placement are eligible for participation and will be referred for participation in the study by the clinical team.

Exclusion criteria

• Inherited, acquired, or medication related coagulopathy or thrombocytopenia (platelets < 100,000). Patients will not be excluded for use of aspirin or other anti-platelet medication.
• Previous central venous access at the same anatomical site.
• Any indwelling catheter or wire that could potentially interfere with central line placement
• Anterior border of the target vein deeper than 3.5cm

Or for any clinical feature that would interfere with obtaining informed consent including dementia, delirium, or encephalopathy, as determined by the clinical attending physician.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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160 participants in 2 patient groups

Standard technique

Active Comparator group

Description:

The conventional hollow bore needle on a syringe will be used

Treatment:

Procedure: Central venous catheter insertion

Peripheral IV

Experimental group

Description:

A peripheral intravenous catheter will be used to obtain initial central venous access

Treatment:

Procedure: Central venous catheter insertion