"Syringe Free" Long-Axis In-Plane vs. Short-Axis Out-of-Plane Approach for Central Venous Catheter Placement

Not Applicable

Completed

• Conditions: Catheter Complications; Critical Illness
• Interventions: Device: Long-axis syringe free in-plane; Device: Short-axis out-of-plane

• Registration Number: NCT04684069
• Lead Sponsor: Ataturk University

Brief Summary

Internal jugular, subclavian, or femoral veins are often used for central venous catheter (CVC) placement. Regardless of which vein is preferred, the "Seldinger" technique is used most frequently. The most commonly used method with ultrasound is the short-axis out-of-plane approach. The main problem in this method is that the correct needle tip is missed, and it causes some complications by causing posterior wall punctures. The "Syringe-free" technique is first reported by Matias et al. in adults; it is a technique that allows full real-time monitoring of the guidewire insertion into the vein without blood aspiration. It is a great advantage in CVC placement, especially with the long-axis in-plane approach. When the literature is reviewed, no study other than a 12 case study in which brachiocephalic vein catheterization related to CVC placement was performed using this technique in children was found. There is no randomized study comparing the "Syringe-free" Long-Axis In-Plane technique with the classic Short-Axis Out-of-Plane technique in pediatric patients.

This study compares these two techniques' efficacy and complication rates in critically ill children requiring CVC placement.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-07-01
• Primary Completion: 2020-11-30
• Status Verified: 2020-12
• Study Completion: 2020-12-15
• Study First Submitted: 2020-12-21
• Study First Submitted QC: 2020-12-21
• Study First Posted: 2020-12-24
• Last Update Submitted: 2020-12-24
• Last Update Posted: 2020-12-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients older than 3 months, younger than 15 years old
• Critical illness pediatrics

Exclusion Criteria

• Patients younger than 3 months and older than 15 years,
• body weight less than 5000 gr,
• anatomical malformation in the neck,
• infection at the intervention site,
• thrombosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
syringe free long axis in-plane	Long-axis syringe free in-plane	-
Short axis out-of-plane	Short-axis out-of-plane	-

Primary Outcome Measures

Name	Time	Method
Performing time	First 10 minutes	The time between the insertion of the needle through the skin and insertion of the guidewire into the internal jugular vein.

Secondary Outcome Measures

Name	Time	Method
Complications	First 24 hours	Catheter related complications
First pass success	First 10 minutes	Successful catheterization with only one needle pass.
New puncture	First 10 minutes	Withdraw the needle from the skin to change the puncture site
Number of neddle pass	First 10 minutes	a change in needle direction without pulling the entire needle out of the skin

Trial Locations

Locations (1)

Ataturk University; 🇹🇷 Erzurum, Turkey