Ultrasound Guided Internal Jugular Vein Cannulation Using Biplanar Imaging: A Pilot Study

NCT04432844 | Completed

• 1 other identifier: IJV Protocol V2
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Central Venous access by real-time ultrasound guidance is considered as gold standard and a recommended clinical practice. Internal jugular vein cannulation is one of the central venous access commonly used for major cardiac surgeries for monitoring and administering life-saving medications. In daily practice internal jugular vein cannulation is done under the guidance of ultrasound imaging after general anesthesia before the surgery. Real time 2D ultrasound guidance (USG) during central venous cannulation (CVC) has shown to be superior to the traditional anatomical landmark guided CVC, but the incidence of carotid puncture is still 4.2%. Any improvement that aids in the ease and safety of the procedures needs to be evaluated. Recently USG biplanar imaging can now successfully demonstrate real time imaging in two different views at the same time. Theoretically, this may help improve precision by improving real time needle tip visualization and thereby reduce potential complications as compared to a traditional 2D approach. This study aims to assess the feasibility of biplanar USG internal jugular venous cannulation.

Conditions

Cardiac Disease

Outcome Measures

Primary Outcomes (1)

• Time taken for successful IJV cannulation

  The time taken from the skin puncture to the aspiration of blood

  Procedure (before surgery after general anesthesia)

Secondary Outcomes (2)

• number of skin puncture

  from the start of IJV insertion till the end of the procedure

• number of needle re-directions

  Procedure during IJV insertion

Interventions

Biplanar Ultrasound guided Internal Jugular Vein Cannulation PROCEDURE

Using Philips EPIQ elite ultrasound system with a high-frequency 3D and 4D volume linear array transducer (USG XL 14-3) to obtain the biplanar imaging of Internal jugular vein cannulation.

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients scheduled for elective cardiac surgeries that meet the inclusion criteria will be recruited.

You may qualify if:

• American Society of Anesthesiologists (ASA) physical status I to III
• Patients posted for elective cardiac surgeries under general anaesthesia.

You may not qualify if:

• Patient refusal
• skin entry site infection
• history of previous IJV cannulation
• obese patients (BMI\>30)

Sponsors & Collaborators

• Chinese University of Hong Kong: lead

Study Sites (1)

Prince of Wales Hosptial

Shatin, New Territories, Hong Kong

Location

MeSH Terms

Conditions

Heart Diseases

Condition Hierarchy (Ancestors)

Cardiovascular Diseases

Study Officials

• Manoj K Karmakar, MD

  Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 12, 2020
• First Posted: June 16, 2020
• Study Start: July 2, 2020
• Primary Completion: November 30, 2020
• Study Completion: November 30, 2020
• Last Updated: January 27, 2021

Record last verified: 2021-01

Locations

HK (1)