A Prospective Trial of Ultrasound Versus Landmark Guided Central Venous Access in the Pediatric Population

Not Applicable

Completed

• Conditions: Need for Central Venous Access
• Interventions: Procedure: central line placement; Device: Ultrasound

• Registration Number: NCT01680666
• Lead Sponsor: Stanford University

Brief Summary

The investigators hypothesized that, in children undergoing venous cannulation for central line placement by pediatric surgeons, ultrasound-guided cannulation leads to an increase in successful venous cannulation at first attempt compared to landmark guided cannulation.

Detailed Description

Not available

Study Timeline

• Study Start: 2009-05
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Study First Submitted: 2012-08-28
• Study First Submitted QC: 2012-09-04
• Study First Posted: 2012-09-07
• Results First Submitted: 2015-01-26
• Results First Submitted QC: 2015-01-26
• Results First Posted: 2015-02-11
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-09
• Last Update Posted: 2017-11-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• All patients between the ages of 0 and 18 years undergoing tunneled central venous line placement under general anesthesia

Exclusion Criteria

• Preoperative proof of non-patency of central veins
• coagulopathy
• access site surgeon

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
landmark guided	central line placement	central line placement
ultrasound guided	Ultrasound	central line placement
ultrasound guided	central line placement	central line placement

Primary Outcome Measures

Name	Time	Method
Success of Central Venous Cannulation at First Attempt	Up to 410 seconds	The count (%) of patients with successful central venous cannulation at first attempt is reported.

Secondary Outcome Measures

Name	Time	Method
Patients With Arterial Punctures	Up to 410 seconds	The count (%) of patients with arterial punctures is presented.
Patients With Complications	Up to 410 seconds	The count (%) of patients with complications (including hemothorax, hematoma, pneumothorax, or catheter malposition) is presented.
Success of Central Venous Cannulation Within First Three Attempts	Up to 410 seconds	The count (%) of patients with successful central venous cannulation within the first three attempts is reported.
Time to Successful Cannulation	Up to 410 seconds

Trial Locations

Locations (2)

Stanford University; 🇺🇸 Palo Alto, California, United States

Children's Mercy Hospital; 🇺🇸 Kansas City, Missouri, United States