Ultrasound Pre-scan to Reduce Needle Redirection During Right Jugular Vein Cannulation

NCT04224259 | Unknown

• 1 other identifier: N201803005
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to define a simple, safe, and effective ultrasound pre-scan technique for right internal jugular vein (RIJV) cannulation. After placing the patient properly, the operator puts a linear ultrasound probe at the mid neck in short-axis view. With the IVJ in the center of the screen, the operator makes marks at both ends of the transducer (mark A and B), and then rotates the transducer 90 degrees counterclockwise. After finding IJV in long-axis view with transducer vertical to the ground, other two marks are made at both ends of the transducer (mark C and D). After proper preparation, the operator recognizes the cross point made by the imagined lines of marks AB and marks CD (point E). The needle is inserted vertically to the ground at point E. Inclusion criteria are adult patients receiving general anesthesia in need of central venous cannulation.The primary endpoint is the number of needle redirection, and secondary endpoints include first attempt success rate, artery puncture, complication, number of wire attempt, number of skin insertion, venous access time, catheterization time, and malposition. The hypothesis is that this ultrasound pre-scan method would have a fewer number of needle redirection, a higher first-attempt success rate, as well as less complication, number of redirection.

Conditions

Anesthesia

Keywords

Ultrasound; pre-scan; right internal jugular vein

Outcome Measures

Primary Outcomes (1)

• number of needle redirection

  How many times of the needle being withdrawn and redirected before successfully access internal jugular vein

  During the cannulation procedure

Secondary Outcomes (9)

• first attempt success rate

  During the cannulation procedure

• artery puncture

  During the cannulation procedure

• number of wire attempt

  During the cannulation procedure

• number of skin insertion

  During the cannulation procedure

• venous access time

  During the cannulation procedure

Study Arms (2)

ultrasound pre-scan group

EXPERIMENTAL

Perform ultrasound pre-scan before central venous cannulation

Procedure: Ultrasound pre-scan

landmark guidance group

SHAM COMPARATOR

Use the traditional landmark method to perform central venous cannulation

Procedure: Landmark guidance

Interventions

Ultrasound pre-scan PROCEDURE

Before cannulation, use ultrasound to mark the position of right internal jugular vein

ultrasound pre-scan group

Landmark guidance PROCEDURE

The traditional landmark-guided technique for internal jugular vein cannulation, including recognizing the sternocleidomastoid muscle and palpating the carotid artery

landmark guidance group

Eligibility Criteria

• Age: 20 Years - 79 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Older than 20 years and younger than 80 years of age
• American Society of Anesthesiologists Physical Status Classification I-III (no immediate life-threatening condition)
• Scheduled for regular surgery
• Receive general anesthesia with endotracheal tube intubation
• In need of central venous catheter placement

You may not qualify if:

• Body Mass Index \> 35kg/m\^2
• Abnormal anatomy of the neck
• Limited range of motion of the neck
• The surgery does not allow right internal jugular vein cannulation or other contraindications for the procedure

Sponsors & Collaborators

• Taipei Medical University WanFang Hospital: lead

Related Publications (1)

• Schummer W, Koditz JA, Schelenz C, Reinhart K, Sakka SG. Pre-procedure ultrasound increases the success and safety of central venous catheterizationdagger. Br J Anaesth. 2014 Jul;113(1):122-9. doi: 10.1093/bja/aeu049. Epub 2014 Mar 18.

  PMID: 24648131 BACKGROUND

Study Officials

• Jui-An Lin, Dr.

  Doctor

  STUDY CHAIR

Central Study Contacts

Wei-Chen Chung, Dr.

CONTACT

+886965562781; elizabethp215@yahoo.com.tw

Jui-An Lin, Dr.

CONTACT

+886970746115; juian.lin@tmu.edu.tw

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 28, 2019
• First Posted: January 13, 2020
• Study Start: February 1, 2020
• Primary Completion: December 1, 2020
• Study Completion: March 1, 2021
• Last Updated: January 13, 2020

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share