A Difference in Subclavian Vein Catheterization Between Supine and Lateral Tilt Position - Stage II

NCT ID: NCT03303274

Last Updated: 2017-10-06

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-20

Study Completion Date

2019-07-31

Brief Summary

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Central venous catheterization is widely used for various purposes during surgery. For central venous catheterization, subclavian vein is selected because of the relatively low risk of infection, long-term patency and low patient discomfort. The cross - sectional area of the subclavian vein is an important factor to increase success rate. Several studies have reported that the Trendelenburg position increases the cross-sectional area of the subclavian vein, and the lateral tilt position can change the cross-sectional area of the subclavian vein. However, the impact of lateral tilt position to the cross-sectional area of the subclavian vein is not clear. The ipsilateral position can increase the cross-sectional area of the subclavian vein, and the contralateral position can decrease the cross-sectional area by gravity.

In the second stage of this study, the investigators would like to compare the success rate, the number of needle passage, time to complete subclavian vein catheterization in supine and ipsilateral tile position.

Detailed Description

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Conditions

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Catheterization Posture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Ipsilateral tilt

The operation table will be tilted 20 degrees right laterally before subclavian venous catheterization.

Group Type EXPERIMENTAL

Ipsilateral tilt

Intervention Type PROCEDURE

The operation table will be tilted 20 degrees right laterally.

Supine

Catheterization of right subclavian vein in supine position.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ipsilateral tilt

The operation table will be tilted 20 degrees right laterally.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- the patients who receive elective neurosurgical surgery and require central venous catheter

Exclusion Criteria

* the patients who have puncture site infection
* the patients who have chemoport, pacemaker in right subclavian vein
* the patients who had received right mastectomy or right pneumonectomy
* other contraindications for subclavian venous catheterization (eg. mass, hematoma, vegetation, and anticoagulation)
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 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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Hee-Pyoung Park

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Hyung-Chul Lee, MD

Role: CONTACT

Phone: +82-10-2456-6336

Email: [email protected]

References

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Yoon HK, Lee HC, Kang P, Lee JM, Park HP, Cho YJ. Effects of ipsilateral tilt position on the cross-sectional area of the subclavian vein and the clinical performance of subclavian vein catheterization: a prospective randomized trial. BMC Anesthesiol. 2020 Sep 5;20(1):226. doi: 10.1186/s12871-020-01144-1.

Reference Type DERIVED
PMID: 32891115 (View on PubMed)

Jung DE, Lee HC, Yoon HK, Park HP. The effects of ipsilateral tilt position on right subclavian venous catheterization: study protocol for a prospective randomized trial. Trials. 2018 May 24;19(1):292. doi: 10.1186/s13063-018-2666-8.

Reference Type DERIVED
PMID: 29793550 (View on PubMed)

Other Identifiers

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1707-110-871-2

Identifier Type: -

Identifier Source: org_study_id