Insertion Angle and Needle Visualization During Ultrasound Guided Internal Jugular Vein Cannulation

NCT02941094 | Unknown DMC

• 1 other identifier: refa-US-angle
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

Ultrasound guidance has been established as an effective and safe method during insertion of internal jugular vein catheter.. Needle visualization during advancement toward the vein has a great impact on both safety and success of the procedure. Clinicians have adopted variable techniques to increase needle visualization including changing needle- probe relation (in-plane vs. out-of-plane), or using specific ultrasound needles The angle between the inserting needle and the probe lying on patient skin affects both the distance to the vein and the length of the needle part travelling through the us beam

Conditions

Internal Jugular Vein Cannulation

Outcome Measures

Primary Outcomes (1)

• success rate

  24 hours starting from central line insertion

Study Arms (3)

angle 30 group

ACTIVE COMPARATOR

During central line insertion, After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 30-40 degree.

Device: needle PLT-805AT; Device: Ultrasound

angle 50 group

ACTIVE COMPARATOR

During central line insertion,After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 50-60 degree

Device: needle PLT-805AT; Device: Ultrasound

angle 70 group

ACTIVE COMPARATOR

During central line insertion,After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 60-80 degree

Device: needle PLT-805AT; Device: Ultrasound

Interventions

needle PLT-805AT DEVICE

comparing success rate and complications using different needle to US probe angles.

Also known as: PLT-805AT, 8 MHz, Toshiba Tokyo, Japan

angle 30 group; angle 50 group; angle 70 group

Ultrasound DEVICE

Xario, Toshiba Tokyo Japan

angle 30 group; angle 50 group; angle 70 group

Eligibility Criteria

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

You may qualify if:

• all patients requiring central line insertion

You may not qualify if:

• refusal
• coagulopathy
• neck surgeries

Sponsors & Collaborators

• Mansoura University: lead

Study Sites (1)

Mansoura university

Al Mansurah, Dkahleya, Egypt

RECRUITING

MeSH Terms

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr

Study Record Dates

• First Submitted: July 19, 2016
• First Posted: October 21, 2016
• Study Start: October 1, 2016
• Primary Completion: June 1, 2017
• Study Completion: July 1, 2017
• Last Updated: November 22, 2016

Record last verified: 2016-11

Locations

EG (1)