Contralateral Head Rotation on Internal Jugular Vein to Carotid Artery Distance and Overlap Ratio

Not Applicable

Completed

• Conditions: Surgery; Central Venous Catheterization
• Interventions: Procedure: Triangle of Sedillot identification using ultrasonography

• Registration Number: NCT03741946
• Lead Sponsor: Indonesia University

Brief Summary

This study aims to find out the effect of contra lateral head rotation to distance and overlapping of internal jugular vein and carotid artery at cricoid cartilage level by ultrasound guidance on the Malay race in Indonesia

Detailed Description

Approval from Ethical Committee of Faculty of Medicine Universitas Indonesia was acquired prior conducting the study. 34 subjects were enrolled by using consecutive sampling method. Sample size was calculated by using numeric analytic comparative paired formula with repeated measurement. Inclusion criteria were patients with ASA score 1 and 2, aged between 18-60 years old, no anatomical abnormality in neck. Exclusion criteria were patients who were either obese, has history of previous central venous catheter cannulation, and limitation on contralateral head movement. Drop out criteria was abnormalities of anatomical IJV and CA. Basic demographic data, such as sex, age, body weight and height, body mass index were recorded. Patients were positioned in Trendelenburg (15°) position. Identification triangle of Sedillot at cricoid level in right neck with palpation at angle 0°. USG probe was placed upright at the top of triangle of Sedillot at cricoid level. Identification of IJV and CA was shown in transversal view then the IJV to CA distance and overlap ratio was calculated. Contralateral head rotation was done with protractor at angle 30°, 45°, and 60°. The distance and overlap ratio of IJV and CA was calculated in each angle.

Study Timeline

• Study First Submitted: 2018-11-07
• Study First Submitted QC: 2018-11-13
• Study First Posted: 2018-11-15
• Study Start: 2018-12-01
• Primary Completion: 2019-01-30
• Study Completion: 2019-02-28
• Status Verified: 2019-12
• Last Update Submitted: 2019-12-30
• Last Update Posted: 2020-01-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• ASA score 1 and 2
• 18-60 years old
• no anatomical abnormality in neck

Exclusion Criteria

• obese
• has history of previous central venous catheter cannulation
• limitation on contralateral head movement

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Triangle of Sedillot identification using ultrasonography	Triangle of Sedillot identification using ultrasonography	USG probe placed upright at the top of triangle of Sedillot at cricoid level

Primary Outcome Measures

Name	Time	Method
IJV to CA distance at different contralateral rotation angle	2 months	IJV to CA distance at different contralateral rotation angle (0°, 30°, 45°, 60°)
IJV to CA overlap ratio at different contralateral rotation angle	2 months	IJV to CA overlap ratio at different contralateral rotation angle (0°, 30°, 45°, 60°)

Trial Locations

Locations (1)

Cipto Mangunkusumo Central National Hospital; 🇮🇩 Jakarta, Indonesia