Right Brachiocephalic Vein Origin (RBCVO) Access for Trauma

Not Applicable

Recruiting

• Conditions: Physical Injury; Haemorrhagic Shock; Trauma Resuscitation; Emergency medicine - Resuscitation

• Registration Number: ACTRN12623000916640
• Lead Sponsor: Alfred Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-08-28
• Last Update Posted: 4 September 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

Participants will be selected if they have serious injuries and if the treating clinician has concern that the patient is shocked or is at risk of developing shock, and central venous access is needed within the first 30 minutes of arrival to the Alfred Emergency and Trauma Centre.
Participants include patients who:
-Have required blood products prehospital or during trauma reception
-Are expected to have ongoing blood loss
-Have a Shock Index (heart rate divided by systolic blood pressure, used as an indicator of haemorrhagic shock) of 1 or greater upon arrival
-Require central venous access for CT contrast injection, central venous pressure monitoring or ongoing care

Ethics approval for enrolment has been granted with a waiver of consent under the provisions of the Victorian Medical Treatment Decision Act 2016 .

Clinicians involved in this study are Trauma, Emergency and Anaesthesia consultants who are experienced with both landmark based subclavian vein central venous access, and ultrasound guided central venous access.

Exclusion Criteria

Participants will be excluded to this study if:
-No clinical concern that the patient is shocked
-Patient has an injury involving the RBCV
-No clinical need for central access
-No clinicians trained in the RBCVO access technique are available to insert the access device
-The origin of the RBCV cannot be clearly visualised with ultrasonography (e.g due to body habitus, wounds to the neck, subcutaneous emphysema or altered anatomy)
-Age of less than 18 years

Clinicians were not involved in this study if they were not Trauma, Emergency or Anaesthesia consultants who were experienced with both landmark based subclavian vein access and ultrasound guided central venous access techniques. Clinicians who did not undergo training in RBCVO access cannot recruit for this study.

Study & Design

• Study Type: Interventional
• Study Design: Not specified