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The Second Try During Landmark Approach of the Internal Jugular Vein: an Ultrasonographic Prelocation Study

NCT ID: NCT02492932

Last Updated: 2023-12-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

323 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-01

Study Completion Date

2027-07-01

Brief Summary

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Two approaches are possible when the first finder needle attempt of the internal jugular vein cannulation fails; the needle can be turned slightly laterally or the puncture point can be moved slightly medially. This study is an ultrasonographic stimulation study to evaluate the success rate of turning the needle laterally and moving the puncture point medially, and to determine the proper angle or distance for the second try of internal jugular vein cannulation.

Detailed Description

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Immediately after induction of general anesthesia, the patient's head is turned slightly, and the table is tilted at 10 degrees, and the puncture point estimated by the anatomical landmarks are marked on the patient's skin. The investigators obtain a sonographic view at the estimated puncture point. It is recorded "success" when the internal jugular vein is visualized on the ultrasonography, and the estimated needle path passes the internal jugular vein. It is recorded "failure" if the internal jugular vein is not visualized on the ultrasonography, and the estimated needle path does not pass the internal jugular vein. After "failure" of the first attempt, the probe is either turned laterally or moved medially until the internal jugular vein is visualized on the ultrasonography, and the estimated needle path passes the internal jugular vein. The angle and distance is recorded. The location of the carotid artery is always marked on the ultrasonography for evaluation of complications.

Conditions

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Jugular Veins

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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IJV_2nd

Ultrasonography examination of the patients who are assumed to take second attempt of internal jugular venous catheterization

Group Type EXPERIMENTAL

Ultrasonography

Intervention Type DEVICE

Ultrasonography evaluation of the internal jugular vein.

Interventions

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Ultrasonography

Ultrasonography evaluation of the internal jugular vein.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for general anesthesia

Exclusion Criteria

* Refusal of consent
* Patients with C-spine injuries
* Patients with atlanto-axial instability
* Patients at risk of increased intracranial pressure
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Chul-Woo Jung

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chul-Woo Jung

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Chul-Woo Jung

Role: CONTACT

Phone: 82-2-2072-2467

Email: [email protected]

Facility Contacts

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Chul-Woo Jung

Role: primary

Other Identifiers

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CWJung_IJV

Identifier Type: -

Identifier Source: org_study_id