Using ultrasound to confirm central venous catheter placement instead of chest X-rays

De-Implementation Of Routine Chest Radiographs After Adoption of Ultrasound Guided Insertion and Confirmation of Central Venous Catheter Protocol

Observational Washington University School of Medicine · NCT04324762

This study is testing if using ultrasound to check the placement of central venous catheters can be a better and faster option than chest X-rays for patients in critical care.

Quick facts

Study typeObservational
Enrollment120 (estimated)
Ages18 Years and up
SexAll
SponsorWashington University School of Medicine Academic / other
Locations1 site (Saint Louis, Missouri)
Trial IDNCT04324762 on ClinicalTrials.gov

What this trial studies

This observational study evaluates the implementation of an ultrasound-guided protocol for confirming the placement of central venous catheters (CVCs) as an alternative to traditional chest radiographs. It aims to identify behavioral determinants that influence clinician adoption of this innovative practice, which could expedite the transition from outdated methods. By focusing on the use of ultrasound, the study seeks to improve patient care and resource utilization in critical care settings. The research will also explore targeted implementation strategies to facilitate the adoption of this protocol among healthcare providers.

Who should consider this trial

Good fit: Ideal candidates for this study are healthcare professionals involved in the placement and maintenance of central venous catheters.

Not a fit: Patients who do not have a clinical role in CVC procedures will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly reduce delays in patient care and improve outcomes by eliminating unnecessary chest X-rays.

How similar studies have performed: Other studies have shown promise in using ultrasound for similar applications, indicating a potential shift in clinical practice.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* have a clinical role in the placement and maintenance of central venous catheters

Exclusion Criteria:

-

Where this trial is running

Saint Louis, Missouri

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions BehaviorProcess, AcceptanceInertia of Accommodationultrasoundcentral venous catheterPOCUSchest radiographyDissemination & Implementation
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.