comparison of two ultrasound guided central line insertion techniques

Not yet recruiting

Conditions: Diseases of the circulatory system,

Registration Number: CTRI/2019/12/022349

Lead Sponsor: SMVMCH RESEARCH FUND

Brief Summary: ultrasound guided central venous cannulation is the standard of care. the incidence of posterior vessel wall puncture in convention ultrasound guided technique is 21% and arterial puncture is 5%. the incidence of posterior vessel wall puncture is reported to be less in penholding method, hence the chance of arterial puncture. the study is designed to compare these two techniques.

Patients will be divided into 2 groups, group C (conventional ultrasound guided technique group) and group P (penholding method group). Inside operation room, after induction of anesthesia ultrasound guided internal jugular venous cannulation will be done using one of these techniques. Incidence of posterior vessel wall puncture, successful cannulation in first attempt, and time taken for successful cannulation will be done by an independent observer not involved in the study. Also complications in both the groups and performers ease will be assessed.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 90

Inclusion Criteria

a)Adult patients of either gender between 18 and 70 years of age b)Belonging to the American Society of Anesthesiologists Physical Status Iâ€“III c)Undergoing general anesthesia and requiring USG guided IJV cannulation.

Exclusion Criteria

a)Patients with untreated coagulopathy, known vascular abnormalities, b)Skeletal abnormalities (e.g., cervical spine disorders), c)Previous surgery over neck area, existing thyroid or neck swelling, localized neck infection d)Any history of neck surgery.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Occurrence of posterior vessel wall puncture and the successful IJV cannulation in first attempt	Time taken for successful cannulation

Secondary Outcome Measures

Name	Time	Method
Proportion of complication such as arterial puncture, andperformerâ€™s ease of the procedurein both the techniques	during the procedure

Trial Locations

Locations (1): SRI MANAKULA VINAYAGAR MEDICAL COLLEGE HOSPITAL HOSPITAL
🇮🇳
Pondicherry, PONDICHERRY, India
SRI MANAKULA VINAYAGAR MEDICAL COLLEGE HOSPITAL HOSPITAL
🇮🇳Pondicherry, PONDICHERRY, India
SRINIVASAN
Principal investigator
9940394386
drsrini16@gmail.com