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Adequate Insertion Depth of Dilator During Central Venous Catheterization

Not Applicable
Conditions
Central Venous Catheterization
Interventions
Procedure: dilator depth
Registration Number
NCT04279808
Lead Sponsor
Seoul National University Hospital
Brief Summary

For safe central catheterization, clinicians must be aware of adequate dilator insertion depth not to directly dilate the venous wall. The purpose of the study is to find out adequate insertion depth of the dilator during central venous catheterization through the internal jugular vein with the aid of real-time ultrasonography.

Detailed Description

This randomized controlled trial is to compare the distance between the skin puncture site and the outside of anterior wall of the internal jugular vein measured by real-time ultrasonography with the conventional method which is routinely used in common clinical practice.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
68
Inclusion Criteria
  • adult patients requiring central venous catheterization through the right internal jugular vein
Exclusion Criteria
  • suspicion for infection of the right neck site

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
measured distancedilator depthIn the modified Seldinger's maneuver, after guide-wire insertion into the right internal jugular vein, "we will measure the distance between the skin puncture site and the outside of anterior wall of the jugular vein. Next, we will insert the dilator on the guidewire by the measured length."
Primary Outcome Measures
NameTimeMethod
hematoma realted with the dilator1 Day (on the study day for each patient)

hematoma from the vascular wall puncture by the dilator

Secondary Outcome Measures
NameTimeMethod
distance between skin puncture site and the outside of the anterior wall of the internal jugular vein1 Day (on the study day for each patient)

distance between skin puncture site and the outside of the anterior wall of the internal jugular vein which will be measured by real-time ultrasonography

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