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
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.
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) |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Seoul National University Hospital |
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 |
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