Peripherally Inserted Versus Centrally Inserted Central Venous Catheters in the Neurological Intensive Care (PICNIC)

University of Michigan

Status and phase

Completed

Phase 3

Conditions

Venous Thrombosis

Treatments

Procedure: Central venous catheter

Study type

Interventional

Funder types

Other

Identifiers

NCT01495429

HUM00050032

Details and patient eligibility

About

The investigators aim to compare the complications between centrally and peripherally inserted central venous catheters in neurological intensive care unit patients. The study hypothesis is that peripherally inserted catheters will have more cumulative complications due to venous thrombosis.

Enrollment

80 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

all patients age > 18, admitted to the neurological ICU who are require a de novo central venous catheter as standard of care and in which a double lumen 5f PICC or CICVC (triple lumen, 7f) are acceptable for the indication.
the patients must be expected to survive and need a central venous catheter for at least 7 days.

Exclusion criteria

prisoner
age < 18
expected to die or have care withdrawn prior to ICU day 7
requiring an emergent central venous catheter
suspected bacteremia
recent central venous catheter within the last 30 days
patients who are not a candidate for bedside placement of either a CICVC or PICC line
patients with renal insufficiency with creatinine level greater than 3.0 mg/dL (265.2 m mol/L) or who were undergoing hemodialysis
patients requiring a central venous catheter for prolonged antibiotic therapy\
patient who the treating clinician feels clearly needs one particular type of catheter over the other