Comparative Study Between Ultrasound-Guided Brachiocephalic Vein and Internal Jugular Vein Cannulation in Mechanically Ventilated ICU Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Sohag University
- Enrollment
- 100
- Primary Endpoint
- cannulation failure rate
Study Overview
Brief Summary
This is a prospective randomized clinical trial aiming to compare the success rate, complications, and insertion time between ultrasound-guided brachiocephalic vein (BCV) and internal jugular vein (IJV) cannulation in mechanically ventilated patients in the intensive care unit (ICU). The goal is to determine whether BCV access offers a safer or more effective alternative in critically ill patients requiring central venous catheter placement.
Detailed Description
Central venous cannulation is a common and essential procedure in the management of critically ill patients, especially those requiring mechanical ventilation. Traditionally, the internal jugular vein (IJV) has been the preferred site. However, the brachiocephalic vein (BCV) has recently gained attention due to its potentially favorable anatomical location and reduced complication rates.
This study is designed to compare the outcomes of ultrasound-guided cannulation of the BCV versus the IJV, focusing on parameters such as success rate of insertion on first attempt, total cannulation time, and incidence of complications such as arterial puncture, pneumothorax, or hematoma formation. The study will be conducted on adult patients admitted to the ICU and undergoing mechanical ventilation
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •100 patients with age between ( 18 - 50 years old ) ventilated in ICU with need central venous access , with physical status II or III according to ASA classification .
Exclusion Criteria
- •refusal of relatives of patients
- •Any contraindication of Central venous line insertion as thrombocytopenia , coagulopathy .... Etc
- •any suspected or documented thrombus inside vein
- •any congenital or acquired musculo-skeletal deformities of neck or clavicle
- •any active infections or signs of inflammation over insertion site
- •any previous procedures performed at the cannulation site
Arms & Interventions
candidates for BCV cannulation
Intervention: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients (Procedure)
candidates for IJV cannulation
Intervention: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients (Procedure)
Outcomes
Primary Outcomes
cannulation failure rate
Time Frame: Baseline
Failure to cannulate selected vein at 1st attempt
Secondary Outcomes
No secondary outcomes reported
Investigators
Hasnaa Mohy Ibrhim
Resident doctor at department of anesthesia and ICU
Sohag University