Dynamic SAX vs Conventional LAX in Internal Jugular Vein Catheterization

Ultrasonography Clinical Trial

Official title:

Randomized Trial of Ultrasound-guided Right Internal Jugular Vein Catheterization Using Dynamic Short Axis Versus Conventional Long-axis View in Cardiac Surgery Patients: a Dual-center Randomized Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03841968
• Other study ID #: DNTP IJV
• Status: Completed
• Phase: N/A
• Start date: March 11, 2019
• Est. completion date: December 9, 2019

Study information

• Verified date: February 2019
• Source: Seoul National University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Conventionally, short-axis out-of-plane (SAX) or long-axis in-plane (LAX) ultrasound views are commonly used to guide internal jugular vein catheterization.

SAX dynamic needle tip positioning (SAX-DNTP) is a novel ultrasound imaging technique that enables continuous visualization of the needle tip during ultrasound-guided cannulation; When the needle tip is imaged as a hyperechoic dot, the ultrasound probe is moved a few millimeters, and then the needle is advanced until the needle tip reappears in the vessel lumen. The process is repeated until the needle is advanced more than 1 cm into the lumen. The catheter is then introduced into the vessel.

The aim of this study was to compare the first pass success rate of internal jugular vein catheterization between SAX-DNTP and the conventional LAX technique.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 146
• Est. completion date: December 9, 2019
• Est. primary completion date: December 9, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Elective cardiac surgery where central venous catheterization is required.

Exclusion Criteria:

• skin infection or trauma

• Shock

• Patients on ECMO or IABP support

• Morbid obesity

• Profound coagulopathy

Related Conditions & MeSH terms

• Cardiac Surgical Procedures
• Central Venous Catheterization
• Ultrasonography

Intervention

Procedure:
• Dynamic needle tip positioning under ultrasound-guidance
The tip of needle is positioned under ultrasound-guidance using dynamic short-axis view.
• Conventional long-axis view
The tip of needle is positioned under ultrasound-guidance using conventional long-axis in-plane view.

Locations

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

Sponsors (2)

Lead Sponsor	Collaborator
Seoul National University Hospital	SMG-SNU Boramae Medical Center

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	First pass success rate of the internal jugular vein catheterization_confirmation of the central venous pressure through a patient monitor	First pass success rate of the internal jugular vein catheterization_confirmation of the central venous pressure through a patient monitor	Intraoperative
Secondary	Total procedure time	Total procedure time	Intraoperative
Secondary	Rate of posterior wall puncture_assessed by ultrasound	Rate of posterior wall puncture_assessed by ultrasound	Intraoperative