Ultrasonography Clinical Trial
Official title:
To Compare the In-plane and Out of Plane Ultrasound Guided Approach for Internal Jugular Vein Cannulation in the Patients Undergoing Elective Cardiac Surgery. A Prospective Randomize Control Trial.
NCT number | NCT04840810 |
Other study ID # | AgaKhanUH |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 1, 2019 |
Est. completion date | April 2, 2019 |
Verified date | April 2021 |
Source | Aga Khan University Hospital, Pakistan |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The insertion of central venous catheters (CVCs) has become an integral part of management of a critically ill patient. Access to the central vein may be required for the administration of hyper osmotic or vasoactive compounds, parenteral nutrition, and rapid infusion of large volumes of fluid or for the continuous or intermittent monitoring of biochemical or physiological parameters. Central venous catheter insertion is also indicated when the insertion of a peripheral line is not possible. Traditionally, CVC insertions have been performed using the landmark technique. Considering the number of CVCs being inserted every day, this can amount to a large number of complications. Efforts to minimize and prevent the occurrence of complications should be a routine component of quality improvement programs. There is an increasing body of evidence supporting the use of ultrasound guidance for CVC placement. This makes the strong rationale to conduct this research thus the aim of this study is to evaluate the real benefits i.e outcome of Long versus Short Axis ultrasound guided approach for internal jugular vein cannulation in the patient for elective cardiac surgery as central venous cannulation (CVC).
Status | Completed |
Enrollment | 80 |
Est. completion date | April 2, 2019 |
Est. primary completion date | March 30, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: - Patients admitted for elective cardiac surgery. - Age between 18 - 75 years. Exclusion Criteria: - BMI more than 30. - Haemodynamically unstable. - Patient with abnormal coagulation profile(INR>1.5 or Platelet counts<50,000). - Patient with a short neck. - Patient with carotid Atherosclerosis proven on ultrasound. |
Country | Name | City | State |
---|---|---|---|
Pakistan | Aga khan university Hospital | Karachi | Sindh |
Lead Sponsor | Collaborator |
---|---|
Aga Khan University Hospital, Pakistan |
Pakistan,
Jefferson P, Ogbue MN, Hamilton KE, Ball DR. A survey of the use of portable ultrasound for central vein cannulation on critical care units in the UK. Anaesthesia. 2002 Apr;57(4):365-8. — View Citation
Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Crit Care Med. 1996 Dec;24(12):2053-8. — View Citation
Schummer W, Schummer C, Rose N, Niesen WD, Sakka SG. Mechanical complications and malpositions of central venous cannulations by experienced operators. A prospective study of 1794 catheterizations in critically ill patients. Intensive Care Med. 2007 Jun;33(6):1055-9. Epub 2007 Mar 7. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | First pass success Rate | Recoded in percentage. Needle successfully inserted into the internal jugular vein and there is no need of Readjustment | immediately after end of procedure | |
Primary | Duration of procedure | Recorded in seconds | Intraoperative (after skin prick to ultrasound confirmation of presence of guide wire within internal jugular vein) | |
Secondary | Unintentional carotid puncture | Recorded in percentage | immediately after completion of procedure |
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