Informations générales (source: ClinicalTrials.gov)
Study of the Effectiveness of Central Line Placement Using an Ultraportable Ultrasound Device (K-T-CO)
Interventional
N/A
Centre Chirurgical Marie Lannelongue (Voir sur ClinicalTrials)
février 2023
août 2024
24 mai 2025
The placement of a catheter in a large-caliber vein is sometimes necessary for the
administration of treatments or the monitoring of a patient. This may be associated with
complications during its realization, such as the puncture of an adjacent artery with
possible formation of a hematoma or the puncture of the pleura with creation of a
pneumothorax. These complications may be favored by variations in the anatomy. The use of
ultrasound allows visualization of the vessels, its adjacent structures and the puncture
needle along its path.
The contribution of ultrasound with the technique of venipuncture under ultrasound
guidance is to date the best means of preventing complications by reducing the risk of
early mechanical complications by a factor of 5 to 10 according to the studies. The
retrospective, multicenter, observational study recently published by Björkander et al
reported the experience of 8 Swedish hospitals with 14243 central venous catheter
placements, 58% of which were in the internal jugular vein. Nearly one catheter in two
was placed with the use of ultrasound (49%). One hundred and eighteen mechanical
complications were recorded, of which 23 were considered serious, including 21
pneumothoraxes and 2 severe hemorrhages. Lack of ultrasound use was found to be an
independent risk factor for complications in multivariate analysis by logistic
regression. Despite a high level of evidence in the scientific literature on the
contribution of ultrasound guidance for the placement of central venous catheters, and
the recommendations of national and international learned societies published before the
start of this study, almost one patient in two had not yet benefited from this technique,
which could nevertheless greatly reduce the incidence of early mechanical complications.
The recent introduction of ultra-portable ultrasound scanners could encourage the
generalization of the use of ultrasound, given their reduced cost. The hypothesis of the
research is that the placement of a central venous catheter is similar whether the
ultrasound machine is an ultra-portable ultrasound machine or a conventional ultrasound
machine
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| HOPITAL FONDATION A. DE ROTHSCHILD | Loïc MIRY | 21/06/2024 13:35:14 | Contacter | ||
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
| Centre Chirurgical Marie Lannelongue - 92350 - Le Plessis Robinson - France | Contact (sur clinicalTrials) | ||||
Critères
Tous
Inclusion Criteria:
- Age ≥ 18 years
- Patients scheduled to have a right or left jugular central venous line placed
preoperatively or in the ICU .
- Patient with free, informed and express consent or emergency procedure
- Age ≥ 18 years
- Patients scheduled to have a right or left jugular central venous line placed
preoperatively or in the ICU .
- Patient with free, informed and express consent or emergency procedure
- Absolute emergency not allowing randomization
- Pregnant woman
- Patient with suspected or proven jugular thrombosis at the insertion site
- Change of central venous line on guidewire
- Operator with no experience in central venous line placement under ultrasound
- contraindication to the placement of a jugular central venous line