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Central line insertion project (CLIP)
ISRCTN ISRCTN85787933
ClinicalTrials.gov identifier
Public title Central line insertion project (CLIP)
Scientific title
Acronym CLIP
Serial number at source HTA 95/16/06
Study hypothesis A single centre randomised trial of central venous catheter insertion by a clinical nurse specialist, under image guidance or on the ward without routine access to image guidance. Approximately 400 patients will be randomised to compare safety, adverse events, efficacy, quality of life and cost. The study will identify the incremental cost effectiveness ratio for nurse insertion and develop and evaluate a training programme to generalise these benefits throughout the NHS. A model will be developed to analyse the long term benefits for patients and the NHS from generalised adoption of the optimal methods of insertion throughout the NHS.
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Not applicable
Participants - inclusion criteria Not provided at time of registration.
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/01/1999
Anticipated end date 31/12/2000
Status of trial Completed
Patient information material
Target number of participants 400
Interventions 1. Central venous catheter insertion by a clinical nurse specialist under image guidance
2. Central venous catheter insertion on the ward without routine access to image guidance
Primary outcome measure(s) Catheter-tip misplacement and this was expected to be higher in the blind arm. When comparing the skill level of the trainer and the trainees, pneumothorax was the primary clinical outcome measure.
Secondary outcome measure(s) Other outcomes measures included arterial puncture, haematoma, infection, failed insertion and assistance from other healthcare professionals.
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website
Publications http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14611735
Contact name Ms  Angela  Boland
  Address University of Liverpool
Ashton Street Medical School
Ashton Street
  City/town Liverpool
  Zip/Postcode L69 3GE
  Country United Kingdom
  Tel +44 (0)151 794 5541
  Email a.boland@liv.ac.uk
Sponsor Department of Health (UK)
  Address Quarry House
Quarry Hill
  City/town Leeds
  Zip/Postcode LS2 7UE
  Country United Kingdom
  Email Sheila.Greener@doh.gsi.gov.uk
  Sponsor website: http://www.dh.gov.uk/en/index.htm
Date applied 25/04/2003
Last edited 17/01/2008
Date ISRCTN assigned 25/04/2003
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