Contralateral Head Rotation on Internal Jugular Vein to Carotid Artery Distance and Overlap Ratio

NCT03741946 | Completed DMC

• 1 other identifier: IndonesiaUAnes025
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to find out the effect of contra lateral head rotation to distance and overlapping of internal jugular vein and carotid artery at cricoid cartilage level by ultrasound guidance on the Malay race in Indonesia

Conditions

Central Venous Catheterization; Surgery

Keywords

carotid arteries; central venous catheterization; jugular veins; Malay race; ultrasonography

Outcome Measures

Primary Outcomes (2)

• IJV to CA distance at different contralateral rotation angle

  IJV to CA distance at different contralateral rotation angle (0°, 30°, 45°, 60°)

  2 months

• IJV to CA overlap ratio at different contralateral rotation angle

  IJV to CA overlap ratio at different contralateral rotation angle (0°, 30°, 45°, 60°)

  2 months

Study Arms (1)

Triangle of Sedillot identification using ultrasonography

OTHER

USG probe placed upright at the top of triangle of Sedillot at cricoid level

Procedure: Triangle of Sedillot identification using ultrasonography

Interventions

Triangle of Sedillot identification using ultrasonography PROCEDURE

Contralateral head rotation was done with protractor at angle 30°, 45°, and 60°. The distance and overlap ratio of IJV and CA was calculated in each angle.

Triangle of Sedillot identification using ultrasonography

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• ASA score 1 and 2
• years old
• no anatomical abnormality in neck

You may not qualify if:

• obese
• has history of previous central venous catheter cannulation
• limitation on contralateral head movement

Sponsors & Collaborators

• Indonesia University: lead

Study Sites (1)

Cipto Mangunkusumo Central National Hospital

Jakarta, 10430, Indonesia

Location

Related Publications (9)

• Lieberman JA, Williams KA, Rosenberg AL. Optimal head rotation for internal jugular vein cannulation when relying on external landmarks. Anesth Analg. 2004 Oct;99(4):982-988. doi: 10.1213/01.ANE.0000132908.77111.CA.

  PMID: 15385337 BACKGROUND

• Troianos CA, Hartman GS, Glas KE, Skubas NJ, Eberhardt RT, Walker JD, Reeves ST; Councils on Intraoperative Echocardiography and Vascular Ultrasound of the American Society of Echocardiography. Guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2011 Dec;24(12):1291-318. doi: 10.1016/j.echo.2011.09.021. No abstract available.

  PMID: 22115322 BACKGROUND

• Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization. Cochrane Database Syst Rev. 2015 Jan 9;1(1):CD011447. doi: 10.1002/14651858.CD011447.

  PMID: 25575245 BACKGROUND

• Sibai AN, Loutfi E, Itani M, Baraka A. Ultrasound evaluation of the anatomical characteristics of the internal jugular vein and carotid artery--facilitation of internal jugular vein cannulation. Middle East J Anaesthesiol. 2008 Oct;19(6):1305-20.

  PMID: 18942245 BACKGROUND

• Saitoh T, Satoh H, Kumazawa A, Nobuhara M, Machii M, Tanaka T, Shiraki K, Saotome M, Urushida T, Katoh H, Hayashi H. Ultrasound analysis of the relationship between right internal jugular vein and common carotid artery in the left head-rotation and head-flexion position. Heart Vessels. 2013 Sep;28(5):620-5. doi: 10.1007/s00380-012-0283-0. Epub 2012 Sep 12.

  PMID: 22968853 BACKGROUND

• Troianos CA, Kuwik RJ, Pasqual JR, Lim AJ, Odasso DP. Internal jugular vein and carotid artery anatomic relation as determined by ultrasonography. Anesthesiology. 1996 Jul;85(1):43-8. doi: 10.1097/00000542-199607000-00007.

  PMID: 8694381 BACKGROUND

• Miki I, Murata S, Nakazawa K, Onozawa S, Mine T, Ueda T, Yamaguchi H, Yasui D, Takeda M, Kumita S. Anatomical relationship between the common carotid artery and the internal jugular vein during head rotation. Ultrasound. 2014 May;22(2):99-103. doi: 10.1177/1742271X14524571. Epub 2014 Feb 25.

  PMID: 27433202 BACKGROUND

• DeAngelis V, Denny J, Chyu D, Jan T, Lemaire A, Chiricolo A, Solina A. The Optimal Angle of Head Rotation for Internal Jugular Cannulation as Determined by Ultrasound Evaluation. J Cardiothorac Vasc Anesth. 2015 Oct;29(5):1257-60. doi: 10.1053/j.jvca.2015.02.007. Epub 2015 Feb 9.

  PMID: 25998069 BACKGROUND

• Shoja MM, Ardalan MR, Tubbs RS, Loukas M, Vahedinia S, Jabbary R, Jalilvand M, Shakeri A. The relationship between the internal jugular vein and common carotid artery in the carotid sheath: the effects of age, gender and side. Ann Anat. 2008;190(4):339-43. doi: 10.1016/j.aanat.2008.04.002. Epub 2008 May 27.

  PMID: 18595678 BACKGROUND

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: Principal Investigator

Study Record Dates

• First Submitted: November 7, 2018
• First Posted: November 15, 2018
• Study Start: December 1, 2018
• Primary Completion: January 30, 2019
• Study Completion: February 28, 2019
• Last Updated: January 2, 2020

Record last verified: 2019-12

Locations

ID (1)