Catheterization, Central Venous Clinical Trial
Official title:
Comparison of Two Needle Insertion Techniques on Success Rate and Complications During Ultrasound Guided Central Venous Catheterization: Seldinger vs. Modified Seldinger Technique
Verified date | December 2019 |
Source | Seoul National University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The investigators intend to compare the Seldinger technique and modified Seldinger technique on success rate and complications during central venous catheterization by a prospective, randomized, controlled study. The investigators are planning to compare both techniques in both experienced (anesthesiologist board member) and non-experienced practitioners (first and second-grade resident).
Status | Completed |
Enrollment | 308 |
Est. completion date | February 28, 2019 |
Est. primary completion date | February 28, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years and older |
Eligibility |
Inclusion Criteria: - patient scheduled for surgery and internal jugular vein central catheterization Exclusion Criteria: - Patient who doesn't agree to the study - Catheterization site inflammation - Contralateral diaphragmatic dysfunction - Anatomic anomalies of carotid artery or vein - Previous neck surgical history - Recent (less than 1 month) right internal jugular vein central catheterization |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Seoul National University Hospital | Seoul |
Lead Sponsor | Collaborator |
---|---|
Seoul National University Hospital |
Korea, Republic of,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | number of attempts of needle advance for successful venous puncture | number of attempts of needle advance (number of needling attempt) | 5 min after internal jugular vein catheterization | |
Secondary | incidence of arterial puncture | incidence of arterial puncture during internal jugular vein catheterization | 5 min after internal jugular vein catheterization | |
Secondary | incidence of local hematoma | incidence of jugular venous hematoma during internal jugular vein catheterization | 5 min after internal jugular vein catheterization | |
Secondary | incidence of pneumothorax | incidence of pneumothorax during internal jugular vein | 5 min after internal jugular vein catheterization | |
Secondary | incidence of hemothorax | incidence of hemothorax during internal jugular vein | 5 min after internal jugular vein catheterization | |
Secondary | Time to successful jugular venous catheterization | incidence of hemothorax during internal jugular vein (overall procedure time) | 5 min after internal jugular vein catheterization | |
Secondary | number of attempts of needle advance | number of attempts of needle advance | 5 min after internal jugular vein catheterization | |
Secondary | number of attempts of catheter advance | number of attempts of needle advance (only in modified Seldinger group) | 5 min after internal jugular vein catheterization | |
Secondary | incidence of successful central venous catheterization | incidence of successful central venous catheterization (success defined as completion of catheterization within three attempts of needle advance) | 5 min after internal jugular vein catheterization | |
Secondary | grade of resistance during dilator insertion | grade of resistance during dilator insertion (grade 1: easy, grade 2: moderate, grade 3: difficult, use of blade for skin incision | 5 min after internal jugular vein catheterization | |
Secondary | number of attempts of guidewire advance | number of attempts of guidewire advance through the lumen of needle or guidewire sheath after desired vessel is punctured | 5 min after internal jugular vein catheterization |
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