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Completed

NCT Number: NCT01608503

Lung Deflation in Pediatric Subclavian Vein Catheterization

The subclavian vein (SCV) is a preferred site for placement of central venous catheter. However, pneumothorax is a major concern during subclavian venous catheterization. Lung deflation, by decreasing lung volume, may reduce the risk of pneumothorax by increasing the distance between the pleura and the SCV. The investigators evaluated the effect of lung deflation on the relative position between the pleura and the line of the imaginary needle pathway during supraclavicular and infraclavicular approach to the subclavian vein (SCV) using ultrasonography.

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Key information

Age range

Up to 1 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Seoul national university hospital

Seoul, South Korea

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Pediatric patients who were scheduled for elective operation under general anesthesia
  • Neonates (0 ~ 1 mo), Infants (1 mo ~ 1 yr)

Exclusion criteria

  • Structural anomalies of the chest wall
  • History of lung and chest wall operations
  • Prior central venous catheterization
  • Upper respiratory tract infection, or pneumonia within 2 weeks

Treatment and study plan

lung deflation

Procedure

lung was deflated during respiration cycle

lung inflation

Procedure

lung was inflated during respiratory cycle

Primary outcomes

  1. The distance between the pleura and the line of the imaginary needle pathway (DPI)

    Time frame: Within 5 minutes

    The ultra-sonography probe was adjusted to obtain an image containing the long-axis cross section of SCV, the pleura, the clavicle, and the first rib. Images were recorded by the same physician during whole respiratory cycle with the probe held in the identical position.

    Imaginary lines for supraclavicular and infraclavicular approach were drawn, and distances from the pleura were measured.

    If the pleura touched the INP, the distance was recorded as positive value. If the pleura did not touch the INP, the distance was recorded as negative value.

Secondary outcomes

  1. The incidence of pleural movement over the imaginary needle pathway

    Time frame: Within 5 minutes

    If the pleura touched the imaginary needle pathway, the incidence was checked.

Sponsors and collaborators

Lead sponsor

Seoul National University Hospital

Other

Registry information

Official study title

The Effect of Lung Deflation on the Position of the Pleura in Mechanically Ventilated Infants During Subclavian Vein Cannulation: an Ultrasound Study

Acronym: SCVLD

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
May 31, 2012
Registry last updated
Apr 23, 2013

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.