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CTRI Number  CTRI/2026/02/104828 [Registered on: 26/02/2026] Trial Registered Prospectively
Last Modified On: 25/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Comparing heart ultrasound with chest radiography to check if a central line is in the right place in ICU patients. 
Scientific Title of Study   PROSPECTIVE EVALUATION OF THE ACCURACY AND TIME EFFICIENCY OF THE SALINE FLUSH ECHOCARDIOGRAPHY TEST COMPARED WITH CHEST RADIOGRAPHY FOR CENTRAL VENOUS CATHETER TIP LOCALIZATION IN INTENSIVE CARE UNIT PATIENTS 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MANAS OMER  
Designation  DNB RESIDENT  
Affiliation  MAX SUPER SPECIALITY HOSPITAL (MAX SAKET) 
Address  1, 2 PRESS ENCLAVE MARG, SAKET INSTITUTIONAL AREA, SAKET, NEW DELHI.
1, 2 PRESS ENCLAVE MARG, SAKET INSTITUTIONAL AREA, SAKET, NEW DELHI.
New Delhi
DELHI
110017
India 
Phone  8808079780  
Fax    
Email  manasomer76@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Omender Singh  
Designation  Principal Director, Institute of Critical Care Medicine  
Affiliation  Max Super Speciality Hospital  
Address  Critical Care Medicine ICUs, Max Super Speciality Hospital, 1,2 Press Enclave Road, Saket Institutional Area, Saket, New Delhi-110017

New Delhi
DELHI
110017
India 
Phone  9205076072  
Fax    
Email  omender.singh@maxhealthcare.com  
 
Details of Contact Person
Public Query
 
Name  Manas Omer  
Designation  DNB RESIDENT  
Affiliation  Max Super Speciality Hospital, Saket  
Address  Critical care medicine ICUs, Max Super Speciality Hospital, 1,2 Press Enclave Road, Saket Institutional Area, Saket, New Delhi-110017

New Delhi
DELHI
110017
India 
Phone  8808079780  
Fax    
Email  manasomer76@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Manas Omer  
Address  Max Super Speciality Hospital, 1,2 Press Enclave Road, Saket Institutional Area, Saket, New Delhi-110017  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manas Omer   Max Super Speciality Hospital, Saket   Medical Intensive Care Units, Critical Care Medicine, Max Super Speciality Hospital, 1,2 Press Enclave Road, Saket Institutional Area, Saket, New Delhi-110017
New Delhi
DELHI 
8808079780

manasomer76@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Max Healthcare Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z452||Encounter for adjustment and management of vascular access device,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Adult patients (18 to 90 years) admitted to ICU requiring central venous catheterization

CVC insertion through internal jugular or subclavian vein using ultrasound guidance

Written informed consent obtained 
 
ExclusionCriteria 
Details  Femoral central venous catheter insertions

PICC or totally implantable port devices

Known cardiac anomalies or congenital heart disease or severe heart failure

Poor echocardiographic windows

Patients on ECMO 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Diagnostic accuracy (sensitivity and specificity) of saline flush echocardiography test compared to chest X-ray for confirming central venous catheter tip position  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Time taken for CVC tip position confirmation using saline flush test compared to chest X-ray

Rate of malpositions or complications detected using Peres formula 
Baseline 
 
Target Sample Size   Total Sample Size="154"
Sample Size from India="154" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   08/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This prospective comparative study evaluates the accuracy and time efficiency of saline flush echocardiography test versus chest radiography for confirming central venous catheter tip position in ICU patients. CVCs will be inserted using the Peres formula, followed by both saline flush test and chest X-ray. The study aims to determine if echocardiography provides comparable accuracy with faster confirmation times. 
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