Single-lumen 5Fr and Triple-lumen 6Fr PICCs Are Accurate for Hemodynamic Measurement by Transpulmonary Thermodilution.

Institute of Hospitalization and Scientific Care (IRCCS)

Status: Completed

Conditions: Peripherally Inserted Central Catheters; Centrally Inserted Central Catheter; Transpulmonary Thermodilution; Hemodynamic Monitoring

Treatments: Diagnostic Test: transpolmonary thermodilution

Study type: Interventional

Funder types: Other

Identifiers

NCT04241926

PICC 5Fr and 6Fr-CICC for TPTD

Details and patient eligibility

About

Peripherally inserted central catheters (PICCs) are increasingly used in intensive care unit (ICU) as an alternative to centrally inserted central catheters (CICCs) for intravenous infusion. In the present study the investigators try to assess their reliability for measuring cardiac index (CI) with trans-pulmonary thermodilution (TPTD) technique.

Enrollment: 15 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• adult patients (≥18 years) admitted to the ICU
• Patients requiring hemodynamic monitoring using EV1000TM
• Patients having both PICC and CICC in place (these patients had their PICC replaced with a CICC, usually at the time of ICU admission, or vice versa, usually at the end of their ICU stay, and were enrolled immediately after the placement of the new device before the previous one was removed)

Exclusion criteria

• body weight <40 kg
• severe aortic regurgitation or intra-cardiac shunt
• treatment with an intra-aortic balloon pump
• contraindication for placement of PICC, CICC or a femoral arterial catheter
• abdominal aneurism
• extracorporeal circulation
• pregnancy
• lack of informed consent