Catheterization, Central Venous Clinical Trial
Official title:
Internal Jugular Vein Cannulation: A Comparison Of Three Techniques: Anatomical Landmark, US Guided Prelocation, and Ultrasound Guided Real Time, at Tertiary Care Teaching University Hospital
Verified date | July 2023 |
Source | Aga Khan University Hospital, Pakistan |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Investigator compared three techniques of Central venous cannulation (CVC) insertion, Anatomical Landmark, Pre-location Ultrasound and the Real Ultrasound techniques, in cardiac surgical patients.
Status | Completed |
Enrollment | 201 |
Est. completion date | July 4, 2021 |
Est. primary completion date | April 1, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Age 18-65 years - ASA (American society of Anesthesiologists) status 1 to 3 requiring central venous catheter during surgical procedure - ASA (American society of Anesthesiologists) status 4 patients coming for cardiac surgery Exclusion Criteria: Patients with a history of following - Previous head and neck surgery - Head and neck mass or cancer. - Superior vena cava syndrome. - Coagulopathy. - Infection at the cannulation site. - Previous central venous access. - Anatomical Changes due to surgery or any pathology in the neck which can lead to distortion of anatomical land marks in the region of puncture. - Raised intracranial pressure (ICP). - Patients coming for emergency surgery - Patients with BMI (Body Mass Index) more than 30 - Patient refusal |
Country | Name | City | State |
---|---|---|---|
Pakistan | Aga Khan University hospital | Karachi | Sindh |
Lead Sponsor | Collaborator |
---|---|
Aga Khan University Hospital, Pakistan |
Pakistan,
Kaye AD, Fox CJ, Hymel BJ, Gayle JA, Hawney HA, Bawcom BA, Cotter TD. The importance of training for ultrasound guidance in central vein catheterization. Middle East J Anaesthesiol. 2011 Feb;21(1):61-6. — View Citation
Leung J, Duffy M, Finckh A. Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Ann Emerg Med. 2006 Nov;48(5):540-7. doi: 10.1016/j.annemergmed.2006.01.011. Epub 2006 Feb 21. — View Citation
Ray BR, Mohan VK, Kashyap L, Shende D, Darlong VM, Pandey RK. Internal jugular vein cannulation: A comparison of three techniques. J Anaesthesiol Clin Pharmacol. 2013 Jul;29(3):367-71. doi: 10.4103/0970-9185.117115. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Success Rate | Success rate will be measured according to the number of attempts. The cannulation of right Internal Jugular Vein within the first three attempts. | Day 1 | |
Secondary | Time duration for each technique | Measurment of time in minutes | Day 1 | |
Secondary | Incidence of Complications | Look for carotid puncture, haematoma formation , pneumothorax | Day 1 |
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