Axillary Vein Cannulation: 'Hockey' Probe Versus Linear Probe

NCT06805279 | Completed

• 1 other identifier: KB/27/2022
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Central venous catheterization, specifically through the axillary vein, is a procedure of critical importance in various clinical contexts. Site selection is dependent on clinical assessment, experience and the physician preference. This study aims to evaluate the potential advantages of using the "hockey stick" ultrasonography probe for axillary vein cannulation and determine whether this probe enhances axillary vein imaging, accelerates the central vein cannulation procedure and reduces the rate of complications compared to the linear probe. Methods: 100 participants were recruited and allocated into two groups: the linear probe group and the hockey stick probe group. All procedures were performed by two senior anesthesia and intensive care residents, each with experience of over 100 central vascular access procedures. Follow-up chest X-rays were taken two hours post-procedure to verify the correct position of the catheter and to rule out complications such as pneumothorax, hemothorax, cardiac tamponade, and incorrect line placement.

Conditions

CVC; Ultrasound Guided Central Venous Cannulation

Outcome Measures

Primary Outcomes (4)

• Success on first attempt

  An attempt is defined by every needle direction change. Whenever vein puncture was not achieved by a simple, straight movement without any change of direction in any plane this cannulation was not counted as success at first attempt

  24 hours

• Number attempts

  An attempt is defined by every needle direction change. Whenever vein puncture was not achieved by a simple, straight movement without any change of direction in any plane this cannulation was not counted as success at first attempt

  24 hours

• Procedure Time

  The procedure time measurement stops when skin dressing is applied. Time measurement was done by an independent observer.

  24 hours

• Cumulative number of complications

  Complications early and late were recorded either with ultrasonography immedi-ately after the procedure or in the chest X-ray 2 hours after.

  24 hours

Study Arms (2)

Hockey ultrasound probe

Use of Hockey ultrasound probe for axillary vein cannulation

Procedure: Axillary Vein Cannulation

Linear ultrasound probe

Use of linear ultrasound probe for axillary vein cannulation

Procedure: Axillary Vein Cannulation

Interventions

Axillary Vein Cannulation PROCEDURE

This study aims to evaluate the potential advantages of using the "hockey stick" ultrasonography probe for axillary vein cannulation and determine whether this probe enhances axillary vein imaging, accelerates the central vein cannulation procedure and reduces the rate of complications compared to the linear probe

Hockey ultrasound probe; Linear ultrasound probe

Eligibility Criteria

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

Study Population

Patient scheduled for elective placement of the central venous catheter in the axillary vein.

You may qualify if:

• age above 18 years old
• scheduled for elective central venous catheter in the axillary vein

You may not qualify if:

• medical contraindication for axillary vein cannulation (coagulation abnormalities, local skin infection or chest wall deformation)
• patient consent decline

Sponsors & Collaborators

• Medical University of Warsaw: lead

Study Sites (1)

II Klinika Anestezjologii i Intensywnej Terapii

Warsaw, Poland

Location

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 30, 2024
• First Posted: February 3, 2025
• Study Start: May 1, 2022
• Primary Completion: July 1, 2024
• Study Completion: July 1, 2024
• Last Updated: February 3, 2025

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)