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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 146
- 试验地点
- 1
- 主要终点
- First pass success rate of the internal jugular vein catheterization_confirmation of the central venous pressure through a patient monitor
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Elective cardiac surgery where central venous catheterization is required.
排除标准
- •skin infection or trauma
- •Patients on ECMO or IABP support
- •Morbid obesity
- •Profound coagulopathy
研究组 & 干预措施
Dynamic needle tip positioning
Dynamic needle tip positioning
干预措施: Dynamic needle tip positioning under ultrasound-guidance (Procedure)
Conventional long-axis
Conventional long-axis
干预措施: Conventional long-axis view (Procedure)
结局指标
主要结局
First pass success rate of the internal jugular vein catheterization_confirmation of the central venous pressure through a patient monitor
时间窗: Intraoperative
First pass success rate of the internal jugular vein catheterization\_confirmation of the central venous pressure through a patient monitor
次要结局
- Rate of posterior wall puncture_assessed by ultrasound(Intraoperative)
- Total procedure time(Intraoperative)