A Difference in Subclavian Vein Catheterization Between Supine and Lateral Tilt Position - Stage II

Catheterization Clinical Trial

Official title:

A Difference in the Cross-section Area of Subclavian Vein Between Supine and Lateral Tilt Position: Its Clinical Impact on Subclavian Venous Catheterization - Stage II

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03303274
• Other study ID #: 1707-110-871-2
• Status: Not yet recruiting
• Phase: N/A
• First received: September 25, 2017
• Last updated: October 2, 2017
• Start date: October 20, 2017
• Est. completion date: July 31, 2019

Study information

• Verified date: October 2017
• Source: Seoul National University Hospital
• Contact: Hyung-Chul Lee, MD
• Phone: +82-10-2456-6336
• Email: lucid80[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Central venous catheterization is widely used for various purposes during surgery. For central venous catheterization, subclavian vein is selected because of the relatively low risk of infection, long-term patency and low patient discomfort. The cross - sectional area of the subclavian vein is an important factor to increase success rate. Several studies have reported that the Trendelenburg position increases the cross-sectional area of the subclavian vein, and the lateral tilt position can change the cross-sectional area of the subclavian vein. However, the impact of lateral tilt position to the cross-sectional area of the subclavian vein is not clear. The ipsilateral position can increase the cross-sectional area of the subclavian vein, and the contralateral position can decrease the cross-sectional area by gravity.

In the second stage of this study, the investigators would like to compare the success rate, the number of needle passage, time to complete subclavian vein catheterization in supine and ipsilateral tile position.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 220
• Est. completion date: July 31, 2019
• Est. primary completion date: July 31, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 79 Years

Eligibility

Inclusion Criteria:

• the patients who receive elective neurosurgical surgery and require central venous catheter

Exclusion Criteria:

• the patients who have puncture site infection

• the patients who have chemoport, pacemaker in right subclavian vein

• the patients who had received right mastectomy or right pneumonectomy

• other contraindications for subclavian venous catheterization (eg. mass, hematoma, vegetation, and anticoagulation)

Related Conditions & MeSH terms

• Catheterization
• Posture

Intervention

Procedure:
• Ipsilateral tilt
The operation table will be tilted 20 degrees right laterally.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Seoul National University Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The number of needle passage	The number of needle passage for puncture of subclavian vein	during subclavian venous catheterization
Secondary	Time to puncture subclavian vein	Time to puncture subclavian vein	during subclavian venous catheterization
Secondary	Time to insert guidewire	Time to insert guidewire	during subclavian venous catheterization
Secondary	Time to insert dilator	Time to insert dilator	during subclavian venous catheterization
Secondary	The number of trial to insert catheter	The number of trial to insert catheter	during subclavian venous catheterization
Secondary	Time to insert catheter	Time to insert catheter	during subclavian venous catheterization
Secondary	Success of catheter insertion	Final success of catheter insertion within 6 trials	during subclavian venous catheterization
Secondary	Other complications with central venous catheterization	complications with central venous catheterization such as arterial puncture, perivascular hematoma, pneumothorax, and malpositioning	From subclavian venous catheterization to 24 hours after operation finished