Ultrasound-Guided BCV and IJV in ICU Patients

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-31

Study Completion Date

2025-12-31

Brief Summary

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This is a prospective randomized clinical trial aiming to compare the success rate, complications, and insertion time between ultrasound-guided brachiocephalic vein (BCV) and internal jugular vein (IJV) cannulation in mechanically ventilated patients in the intensive care unit (ICU). The goal is to determine whether BCV access offers a safer or more effective alternative in critically ill patients requiring central venous catheter placement.

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Detailed Description

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Central venous cannulation is a common and essential procedure in the management of critically ill patients, especially those requiring mechanical ventilation. Traditionally, the internal jugular vein (IJV) has been the preferred site. However, the brachiocephalic vein (BCV) has recently gained attention due to its potentially favorable anatomical location and reduced complication rates.

This study is designed to compare the outcomes of ultrasound-guided cannulation of the BCV versus the IJV, focusing on parameters such as success rate of insertion on first attempt, total cannulation time, and incidence of complications such as arterial puncture, pneumothorax, or hematoma formation. The study will be conducted on adult patients admitted to the ICU and undergoing mechanical ventilation

Conditions

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Ultrasound-Guided Vascular Access ICU Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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candidates for BCV cannulation

Group Type ACTIVE_COMPARATOR

ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients

Intervention Type PROCEDURE

For Arm ( candidates for BCV cannulation ) :

by ultrasound guided we insert Central venous catheter in BCV under complete aseptic condition For Arm ( candidates for IJV cannulation ) by ultrasound guided we insert central venous catheter in IJV under complete aseptic conidtion we do comparison between the 2 arms as regard : 1st pass success rate , complications and failure rate in ventilated patient in ICU .

candidates for IJV cannulation

Group Type ACTIVE_COMPARATOR

ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients

Intervention Type PROCEDURE

For Arm ( candidates for BCV cannulation ) :

by ultrasound guided we insert Central venous catheter in BCV under complete aseptic condition For Arm ( candidates for IJV cannulation ) by ultrasound guided we insert central venous catheter in IJV under complete aseptic conidtion we do comparison between the 2 arms as regard : 1st pass success rate , complications and failure rate in ventilated patient in ICU .

Interventions

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ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients

For Arm ( candidates for BCV cannulation ) :

by ultrasound guided we insert Central venous catheter in BCV under complete aseptic condition For Arm ( candidates for IJV cannulation ) by ultrasound guided we insert central venous catheter in IJV under complete aseptic conidtion we do comparison between the 2 arms as regard : 1st pass success rate , complications and failure rate in ventilated patient in ICU .

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

100 patients with age between ( 18 - 50 years old ) ventilated in ICU with need central venous access , with physical status II or III according to ASA classification .

Exclusion Criteria

* refusal of relatives of patients
* Any contraindication of Central venous line insertion as thrombocytopenia , coagulopathy …. Etc
* any suspected or documented thrombus inside vein
* any congenital or acquired musculo-skeletal deformities of neck or clavicle
* any active infections or signs of inflammation over insertion site
* any previous procedures performed at the cannulation site

Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No