A Difference in the Cross-section Area of Subclavian Vein Between Supine and Lateral Tilt Position: Its Clinical Impact on Subclavian Venous Catheterization - Stage II
试验速览
- 阶段
- 不适用
- 入组人数
- 17
- 主要终点
- The cross-sectional area of right subclavian vein
研究概览
简要总结
Central venous catheterization is widely used for various purposes during surgery. For central venous catheterization, subclavian vein is selected because of the relatively low risk of infection, long-term patency and low patient discomfort. The cross - sectional area of the subclavian vein is an important factor to increase success rate. Several studies have reported that the Trendelenburg position increases the cross-sectional area of the subclavian vein, and the lateral tilt position can change the cross-sectional area of the subclavian vein. However, the impact of lateral tilt position to the cross-sectional area of the subclavian vein is not clear. The ipsilateral position can increase the cross-sectional area of the subclavian vein, and the contralateral position can decrease the cross-sectional area by gravity.
In the first stage of this study, we compare the cross-sectional area of subclavian vein using ultrasonography in supine, ipsilateral, and contralateral tilt position.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 79 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •the patients who receive elective neurosurgical surgery and require central venous catheter
排除标准
- •the patients who have puncture site infection
- •the patients who have chemoport, pacemaker in right subclavian vein
- •the patients who had received right mastectomy or right pneumonectomy
- •other contraindications for subclavian venous catheterization (eg. mass, hematoma, vegetation, and anticoagulation)
结局指标
主要结局
The cross-sectional area of right subclavian vein
时间窗: 1 minutes after position change
The cross-sectional area of right subclavian vein
次要结局
未报告次要终点
研究者
Hee-Pyoung Park
Professor
Seoul National University Hospital
