Supraclavicular Fossa US View for Catheter Positioning in Right Subclavian Central Venous Catheterization

NCT03812757 | Completed

• 1 other identifier: CVC positioning
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The study will evaluate if the supraclavicular fossa ultrasound view can be used to achieve a correct catheter tip placement in infraclavicular right subclavian central venous catheter placement. This may make routine post-procedural x-ray exams redundant.

Conditions

Central Venous Catheter Placement

Keywords

Central venous catheter; Subclavian vein; Supraclavicular fossa ultrasound view

Outcome Measures

Primary Outcomes (1)

• Correct catheter tip positioning

  Optimal placement (cavoatrial junction, distal superior vena cava); acceptable placement (upper part of the right atrium and entire SVC, provided that the axes of the catheter and vein are aligned to reduce the risk of vessel perforation); unacceptable placement (all other locations).

  Post-procedural x-ray (typically within 24 hours)

Secondary Outcomes (1)

• Mechanical complications within 24 hours

  Within 24 hours after central venous catheterization

Study Arms (1)

Supraclavicular fossa US scanning

Following insertion of at least 20 cm of the guidewire into the right subclavian vein, the probe is shifted to the right supraclavicular fossa to scan the right internal jugular vein in order to exclude malposition of the guidewire. The probe is then tilted in a caudal direction to obtain a view of the guidewire within the superior vena cava. Misplaced guidewires will be corrected under real-time ultrasound guidance.

Diagnostic Test: Supraclavicular fossa US scanning

Interventions

Supraclavicular fossa US scanning DIAGNOSTIC_TEST

As previously stated.

Supraclavicular fossa US scanning

Eligibility Criteria

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

Study Population

Patients \>18 years with an indication for CVC placement and under the care of one of three intensivists responsible for the study will be consecutively included in the study

You may qualify if:

• Indication for central venous catheter placement.

You may not qualify if:

• Operator unable to visualize the subclavian vein (e.g., in those with subcutaneous emphysema of the chest wall),
• Subclavian vein catheterization deemed inappropriate by the operator,
• Central line/pacemaker/similar device already in place (risk for misinterpretation of the ultrasound image)

Sponsors & Collaborators

• Skane University Hospital: lead

Study Sites (1)

Skånes universitetssjukhus

Lund, 22185, Sweden

Location

Related Publications (1)

• Adrian M, Kander T, Lunden R, Borgquist O. The right supraclavicular fossa ultrasound view for correct catheter tip positioning in right subclavian vein catheterisation: a prospective observational study. Anaesthesia. 2022 Jan;77(1):66-72. doi: 10.1111/anae.15534. Epub 2021 Jul 14.

  PMID: 34260061 DERIVED

Study Officials

• Ola Borgquist, MD, PhD

  Skane University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: January 19, 2019
• First Posted: January 23, 2019
• Study Start: January 18, 2019
• Primary Completion: January 1, 2020
• Study Completion: January 1, 2020
• Last Updated: November 3, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)