An Infraclavicular Landmark-based Approach to the Axillary Vein

NCT02083458 | Completed

• 1 other identifier: Axillary vein - WCM
• Study Type: interventional
• Target: 153
• Locations: 1 country
• Sites: 1

Brief Summary

The central line placement is the widespread procedure performed in the intensive care and emergency medicine. Indications for this procedure are chiefly lack of peripheral catheters, administration some medications, renal replacement therapy, parenteral nutrition and hemodynamic monitoring. The procedure is performed by percutaneous puncture of large vein of the neck and the thorax - internal jugular vein or subclavian vein, then insertion of guidewire through the needle and placement of the catheter over the guidewire. The tip of the catheter is situated in the superior vena cava. There are two techniques of catheterizations: landmark-based and ultrasound-guided. The most frequently cannulated veins in landmark-based approach are internal jugular and subclavian vein. The cannulation of the axillary vein is not common procedure in the intensive care unit, mainly due its complicated original technique. The primary intention of this study was to describe and assess usefulness and safety of the new landmark-based technique of catheterization of the axillary vein in patients admitted to the intensive care unit.

Conditions

Critical Illness

Keywords

critical care; catheterization; axillary vein

Outcome Measures

Primary Outcomes (2)

• Rate of successful catheterizations.

  24 hours

• Procedure success rate depending on physician experience.

  24 hours

Secondary Outcomes (1)

• Rate of early complications.

  24 hours

Study Arms (1)

axillary vein catheterization

EXPERIMENTAL

Catheterization of the axillary vein based on anatomical landmark.

Procedure: Catheterization of the axillary vein.

Interventions

Catheterization of the axillary vein. PROCEDURE

axillary vein catheterization

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients admitted to the intensive care unit with indications for central venous catheterization

You may not qualify if:

• chest wall deformities at the cannulations side
• major hemostasis disorders
• infections at the catheterization site
• age less than 18 years
• lack of patients consent

Sponsors & Collaborators

• Uniwersytecki Szpital Kliniczny w Opolu: lead

Study Sites (1)

Department of Anesthesiology and Intensive Care, Publiczny Samodzielny Zaklad Opieki Zdrowotnej Wojewodzkie Centrum Medyczne

Opole, Opole Voivodeship, 45-418, Poland

Location

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ryszard Gawda, MD

  Department of Anesthesiology and Intensive Care, Publiczny Samodzielny Zaklad Opieki Zdrowotnej Wojewodzkie Centrum Medyczne w Opolu

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior anesthesiologist

Study Record Dates

• First Submitted: March 4, 2014
• First Posted: March 11, 2014
• Study Start: February 1, 2010
• Primary Completion: December 1, 2012
• Study Completion: February 1, 2014
• Last Updated: June 14, 2016

Record last verified: 2016-06

Locations

PL (1)