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Completed

NCT Number: NCT03841968

Dynamic SAX vs Conventional LAX in Internal Jugular Vein Catheterization

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Seoul National University Hospital

Seoul, 03080, South Korea

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Dynamic needle tip positioning under ultrasound-guidance

Procedure

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

Conventional long-axis view

Procedure

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

Primary outcomes

  1. First pass success rate of the internal jugular vein catheterization_confirmation of the central venous pressure through a patient monitor

    Time frame: Intraoperative

    First pass success rate of the internal jugular vein catheterization_confirmation of the central venous pressure through a patient monitor

Secondary outcomes

  1. Total procedure time

    Time frame: Intraoperative

    Total procedure time

  2. Rate of posterior wall puncture_assessed by ultrasound

    Time frame: Intraoperative

    Rate of posterior wall puncture_assessed by ultrasound

Sponsors and collaborators

Lead sponsor

Seoul National University Hospital

Other

Collaborators

  • SMG-SNU Boramae Medical Center

Registry information

Official study title

Randomized Trial of Ultrasound-guided Right Internal Jugular Vein Catheterization Using Dynamic Short Axis Versus Conventional Long-axis View in Cardiac Surgery Patients: a Dual-center Randomized Trial

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Feb 15, 2019
Registry last updated
Feb 28, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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