Subclavian Vein Ultrasound Guided Cannulation in Adult

Not Applicable

Completed

• Conditions: Cardiac Surgery
• Interventions: Procedure: Echoguided vein puncture

• Registration Number: NCT00882297
• Lead Sponsor: University Hospital, Bordeaux

Brief Summary

There is actually two techniques of subclavian vein ultrasonography-guided venous catheterization : the axial and longitudinal approach. Currently, nothing makes it possible to privilege one technique compared to the other. This study aims to determine the best ultrasonography-guided method.

Detailed Description

This prospective randomized study will concern 100 adult patients operated of cardiac surgery under general anesthesia and requiring a central venous catheter. Patients will be randomized by an operator experienced in echoguided venous catheterization to be included in the axial (50 patients) or the longitudinal (50 patients) approach group. The device used will be a vascular probe of 7.5 MHz (Sonosite I Look®). The principal outcome measure will be the time from percutaneous puncture to the rise of the metallic guide (seldinger technique). The secondary criteria will be the rate of complication and failure. A series of echographic (size and depth of the subclavian vein and biometric (BMI, theoretical distance not from puncture (way of Aubaniac)/réel) measurements will be done to identify predictive conditions of success or failure depending of the echographic approach.

Study Timeline

• Study Start: 2009-04
• Study First Submitted: 2009-04-15
• Study First Submitted QC: 2009-04-15
• Study First Posted: 2009-04-16
• Primary Completion: 2009-11
• Study Completion: 2009-11
• Status Verified: 2010-01
• Last Update Submitted: 2010-01-20
• Last Update Posted: 2010-01-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Patient requiring the installation of a central venous catheter in subclavian site
• Installation of catheter under general anaesthesia
• Oral consent of the patient

Exclusion Criteria

• Thrombosis in subclavian vein
• Urgency of central venous catheterization.
• Insertion of central vein catheter other than subclavian
• Insertion of subclavian catheter under loco-regional anaesthesia

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	Echoguided vein puncture	Transversal approach guided placement
2	Echoguided vein puncture	Longitudinal approach guided placement

Primary Outcome Measures

Name	Time	Method
Time from vein puncture to seldinger guide placement	After anesthesia during cardiac surgery

Secondary Outcome Measures

Name	Time	Method
Complications	During cardiac surgery until 48 hours after the end

Trial Locations

Locations (1)

University Hospital, Bordeaux; 🇫🇷 Pessac, France