The Second Try During Landmark Approach of the Internal Jugular Vein: an Ultrasonographic Prelocation Study

Jugular Veins Clinical Trial

Official title:

The Second Try During Landmark Approach of the Internal Jugular Vein: an Ultrasonographic Prelocation Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT02492932
• Other study ID #: CWJung_IJV
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 1, 2025
• Est. completion date: July 1, 2027

Study information

• Verified date: November 2023
• Source: Seoul National University Hospital
• Contact: Chul-Woo Jung
• Phone: 82-2-2072-2467
• Email: jungcwoo[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Two approaches are possible when the first finder needle attempt of the internal jugular vein cannulation fails; the needle can be turned slightly laterally or the puncture point can be moved slightly medially. This study is an ultrasonographic stimulation study to evaluate the success rate of turning the needle laterally and moving the puncture point medially, and to determine the proper angle or distance for the second try of internal jugular vein cannulation.

Description:

Immediately after induction of general anesthesia, the patient's head is turned slightly, and the table is tilted at 10 degrees, and the puncture point estimated by the anatomical landmarks are marked on the patient's skin. The investigators obtain a sonographic view at the estimated puncture point. It is recorded "success" when the internal jugular vein is visualized on the ultrasonography, and the estimated needle path passes the internal jugular vein. It is recorded "failure" if the internal jugular vein is not visualized on the ultrasonography, and the estimated needle path does not pass the internal jugular vein. After "failure" of the first attempt, the probe is either turned laterally or moved medially until the internal jugular vein is visualized on the ultrasonography, and the estimated needle path passes the internal jugular vein. The angle and distance is recorded. The location of the carotid artery is always marked on the ultrasonography for evaluation of complications.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 323
• Est. completion date: July 1, 2027
• Est. primary completion date: July 1, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 80 Years

Eligibility

Inclusion Criteria:

• Patients scheduled for general anesthesia

Exclusion Criteria:

• Refusal of consent

• Patients with C-spine injuries

• Patients with atlanto-axial instability

• Patients at risk of increased intracranial pressure

Related Conditions & MeSH terms

• Jugular Veins

Intervention

Device:
• Ultrasonography
Ultrasonography evaluation of the internal jugular vein.

Locations

Country	Name	City	State
Korea, Republic of	Seoul National University Hospital	Seoul

Sponsors (1)

Lead Sponsor	Collaborator
Seoul National University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Success rate of internal jugular vein cannulation at the second attempt after failure of first attempt on ultrasonographic simulation		intraoperative
Secondary	Degree of lateral rotation or medial movement for successful puncture of second attemp		intraoperative