Status:

RECRUITING

Deimplementing CXR After CVC (DRAUP) in the ICU

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Implementation Science

Behavior and Behavior Mechanisms

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This study proposes adapting and testing an innovative, behavioral theory-driven deimplementation program called DRAUP in two intensive care units for proof of concept and support that the program can...

Detailed Description

There are millions of critically ill patients annually who require imaging confirmation after central venous catheter insertion. Emerging literature demonstrates that ultrasound is a faster alternativ...

Eligibility Criteria

Inclusion

  • Measure the effectiveness and cost effectiveness of DRAUP on discontinuation of CXRs
  • Inclusion Criteria for DRAUP training:
  • (1) ICU faculty, fellows, senior residents (post graduate year 3) and advanced practice practitioners
  • ICU inclusion for DRAUP program:
  • Availability of ultrasound machines with archiving capability (DICOM)
  • A minimum of 100 supradiaphragmatic CVC insertions annually in adult patients (age \>18)
  • Capacity to access digital archiving (PICOM)
  • Patient inclusion for DRAUP program:
  • supradiaphragmatic CVC placed
  • Patient exclusion for DRAUP program:
  • severe instability (cardiac arrest, severe shock) where CVC would be used without CXR,
  • level 1 trauma;
  • burn patients with no viable skin surface for imaging

Exclusion

    Key Trial Info

    Start Date :

    January 2 2024

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 31 2025

    Estimated Enrollment :

    100 Patients enrolled

    Trial Details

    Trial ID

    NCT06146348

    Start Date

    January 2 2024

    End Date

    December 31 2025

    Last Update

    March 12 2025

    Active Locations (1)

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    1

    Washington University School of Medicine

    St Louis, Missouri, United States, 63108