The Second Try During Landmark Approach of the Internal Jugular Vein: an Ultrasonographic Prelocation Study

Not Applicable

Not yet recruiting

• Conditions: Jugular Veins
• Interventions: Device: Ultrasonography

• Registration Number: NCT02492932
• Lead Sponsor: Seoul National University Hospital

Brief Summary

Two approaches are possible when the first finder needle attempt of the internal jugular vein cannulation fails; the needle can be turned slightly laterally or the puncture point can be moved slightly medially. This study is an ultrasonographic stimulation study to evaluate the success rate of turning the needle laterally and moving the puncture point medially, and to determine the proper angle or distance for the second try of internal jugular vein cannulation.

Detailed Description

Immediately after induction of general anesthesia, the patient's head is turned slightly, and the table is tilted at 10 degrees, and the puncture point estimated by the anatomical landmarks are marked on the patient's skin. The investigators obtain a sonographic view at the estimated puncture point. It is recorded "success" when the internal jugular vein is visualized on the ultrasonography, and the estimated needle path passes the internal jugular vein. It is recorded "failure" if the internal jugular vein is not visualized on the ultrasonography, and the estimated needle path does not pass the internal jugular vein. After "failure" of the first attempt, the probe is either turned laterally or moved medially until the internal jugular vein is visualized on the ultrasonography, and the estimated needle path passes the internal jugular vein. The angle and distance is recorded. The location of the carotid artery is always marked on the ultrasonography for evaluation of complications.

Study Timeline

• Study First Submitted: 2015-06-09
• Study First Submitted QC: 2015-07-08
• Study First Posted: 2015-07-09
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-29
• Last Update Posted: 2023-12-01
• Study Start: 2025-07-01
• Primary Completion: 2026-07-01
• Study Completion: 2027-07-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 323

Inclusion Criteria

• Patients scheduled for general anesthesia

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Exclusion Criteria

• Refusal of consent
• Patients with C-spine injuries
• Patients with atlanto-axial instability
• Patients at risk of increased intracranial pressure

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
IJV_2nd	Ultrasonography	Ultrasonography examination of the patients who are assumed to take second attempt of internal jugular venous catheterization

Primary Outcome Measures

Name	Time	Method
Success rate of internal jugular vein cannulation at the second attempt after failure of first attempt on ultrasonographic simulation	intraoperative

Secondary Outcome Measures

Name	Time	Method
Degree of lateral rotation or medial movement for successful puncture of second attemp	intraoperative

Trial Locations

Locations (1)

Seoul National University Hospital; 🇰🇷 Seoul, Korea, Republic of