Dynamic SAX vs Conventional LAX in Internal Jugular Vein Catheterization

NCT ID: NCT03841968

Last Updated: 2020-02-28

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

COMPLETED

Clinical Phase

NA

Total Enrollment

146 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-11

Study Completion Date

2019-12-09

Brief Summary

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Conventionally, short-axis out-of-plane (SAX) or long-axis in-plane (LAX) ultrasound views are commonly used to guide internal jugular vein catheterization.

SAX dynamic needle tip positioning (SAX-DNTP) is a novel ultrasound imaging technique that enables continuous visualization of the needle tip during ultrasound-guided cannulation; When the needle tip is imaged as a hyperechoic dot, the ultrasound probe is moved a few millimeters, and then the needle is advanced until the needle tip reappears in the vessel lumen. The process is repeated until the needle is advanced more than 1 cm into the lumen. The catheter is then introduced into the vessel.

The aim of this study was to compare the first pass success rate of internal jugular vein catheterization between SAX-DNTP and the conventional LAX technique.

Detailed Description

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Conditions

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Cardiac Surgical Procedures Central Venous Catheterization Ultrasonography

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Dynamic needle tip positioning

Dynamic needle tip positioning

Group Type ACTIVE_COMPARATOR

Dynamic needle tip positioning under ultrasound-guidance

Intervention Type PROCEDURE

The tip of needle is positioned under ultrasound-guidance using dynamic short-axis view.

Conventional long-axis

Conventional long-axis

Group Type ACTIVE_COMPARATOR

Conventional long-axis view

Intervention Type PROCEDURE

The tip of needle is positioned under ultrasound-guidance using conventional long-axis in-plane view.

Interventions

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Dynamic needle tip positioning under ultrasound-guidance

The tip of needle is positioned under ultrasound-guidance using dynamic short-axis view.

Intervention Type PROCEDURE

Conventional long-axis view

The tip of needle is positioned under ultrasound-guidance using conventional long-axis in-plane view.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Elective cardiac surgery where central venous catheterization is required.

Exclusion Criteria

* skin infection or trauma
* Shock
* Patients on ECMO or IABP support
* Morbid obesity
* Profound coagulopathy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SMG-SNU Boramae Medical Center

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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DNTP IJV

Identifier Type: -

Identifier Source: org_study_id

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