A Different Use of The Aerosol Box in COVID-19 Patients; Internal Jugular Vein Cannulation

COVID-19 Pneumonia Clinical Trial

Official title:

Use of Aerosol Box for Ultrasound-guided Internal Jugular Vein Cannulation in COVID-19 Patients; Single Center Experience

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04954118
• Other study ID #: 2020-287
• Status: Completed
• Phase: N/A
• Start date: March 20, 2020
• Est. completion date: September 30, 2020

Study information

• Verified date: July 2021
• Source: Bakirkoy Dr. Sadi Konuk Research and Training Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

During the COVID-19 pandemic, health employees are at high risk of infection. This study aimed to determine experiences with an aerosol box (AB), used with the aim of preventing contamination by droplets during internal jugular vein cannulation which requires close contact with COVID-19 patients, and the necessity to use this device.

Description:

The study included 40 patients with diagnosis of COVID-19 requiring central venous catheter during treatment in the ward. The patients were randomly allocated to one of the two protective equipment groups and, then, randomly assigned to one of the five clinicians. Group P&A had both personal protective equipment (PPE) and AB used, while Group P included patients where PPE was used alone. Clinicians completed a survey after performing the procedure to evaluate the use of the aerosol box. Collected data of the procedures and patients, were analyzed. In addition, survey data were evaluated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: September 30, 2020
• Est. primary completion date: March 20, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients diagnosed with COVID-19 and inserted central venous catheter while being treated in the ward

Exclusion Criteria:

• Patients under the age of 18 years
• Patients who can not lie in the supine position due to severe respiratory distress,
• Patients with thrombus in the right IJV in evaluation with US

Related Conditions & MeSH terms

• COVID-19 Pneumonia
• Pneumonia

Intervention

Procedure:
• Internal jugular vein cannulation
The clinicians performed an internal jugular vein cannulation using personal protective equipment (PPE) or both of the aerosol box and PPE provide insertion of a central venous catheter in COVID-19 patients.

Locations

Country	Name	City	State
Turkey	Bakirkoy Dr. Sadi Konuk Research and Training Hospital	Istanbul	Bakirkoy

Sponsors (1)

Lead Sponsor	Collaborator
Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Questionnaire on the Use of Aerosol Boxes	There is no valid and reliable questionnaire in the literature that evaluates behaviors and attitudes towards aerosol box use. Therefore, in our study, a questionnaire was conducted about the attitudes and behaviors of the participants towards aerosol box preservatives.There are 6 statements in the content of the questionnaire on aerosol box use. The questionnaire consists of expressions such as "1-Discomfort using box, 2-Difficulty in manipulation during the performance, 3-Difficulty in use of US device restricted by box, 4-Increased cognitive load from use of box, 5-Increased physical load from use of box, 6-User satisfaction respectively. Participants were asked to answer these statements as ''yes or no''. According to the response received, positive or negative attitudes towards the use of aerosol boxes were evaluated.	7 months from the index case of the pandemic in Turkey
Primary	Catheter-related infection after central venouse catheterization in COVID-19	When the body temperature of the patients is above 38, blood, urine and if the patient is intubated, a tracheal aspirate culture will be taken.; If the blood culture test is a positive, a diagnosis of catheter-related infection will be made and central venouse catheter will be removed.	7 months from the index case of the pandemic in Turkey
Secondary	Number of arterial punctures	The difference in the number of arterial punctures developed during central venous catheterization in patients with or without aerosol box.	7 months from the index case of the pandemic in Turkey