To compare the safety of Ultrasound guided centre line placement in wide neck vein between above and below the collar bone approach in ICU patients.

Not yet recruiting

• Registration Number: CTRI/2023/10/058552
• Lead Sponsor: Uttar Pradesh university of medical science Saifai Etawah

Brief Summary

Central vein catheter (CVC) insertion is an essential and routine procedure of modern medicine in critically ill patients in intensive care unit (ICU). CVC catheterization is required for both invasive monitoring as well as therapeutic purposes. USG guided subclavian vein cannulation is associated with lesser numbers of complications as compared to blind landmark technique.The aim of study is to determine the difficulties and advantages of subclavian venous

catheterization using supraclavicular versus and infraclavicular approach under real time ultrasound guidance in ICU patients. Primary objective of this study is to compare the complications during USG guided supraclavicular and infraclavicular subclavian vein cannulation. This prospective, randomized, comparative study will be conducted after approval from the institutional ethical committee. All the patients will be assessed and check-up will done including detail history, general and systemic examination and clinical laboratory tests will be conducted. Patients or their relatives will be explained about the concerned technique and written and informed consent will be obtained.

This hospital based study will be conducted on 80 critically ill patients requiring CVC insertion. Patients who will be admitted to surgical ICU for intensive management whether mechanically ventilated or on spontaneous ventilation of age >18 years will be randomly assigned to two groups of 40 each using computer generated number table. The allocations will be concealed in sequentially numbered, sealed, opaque envelopes.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-10-20
• Last Update Posted: 2023-11-10

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Patients of age more than 18 years of both gender requiring central line placement for therapeutic or monitoring purpose.

Exclusion Criteria

1.Patient/attendant refusal 2.Patient having an infection at puncture site 3.Patient having pneumothorax/SVC syndrome 4.Patient having coagulation abnormality 5.Patient having distorted anatomy of neck or fracture clavicle, 6.Patient having platelets count less than 50000/dl.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the complications during USG guided supraclavicular and infraclavicular subclavian vein cannulation	up to 7 days

Secondary Outcome Measures

Name	Time	Method
To compare the success rate of subclavian vein cannulation, procedure time, CVC related blood stream infection in both approaches.	up to 7 days.

Trial Locations

Locations (1)

Uttar Pradesh university of medical sciences; 🇮🇳 Etawah, UTTAR PRADESH, India

Uttar Pradesh university of medical sciences

🇮🇳Etawah, UTTAR PRADESH, India

Dr Shailendra Kumar Patel

Principal investigator

6387151349

shaim.kpatel.111@gmail.com