A New Infraclavicular Landmark-based Approach to the Axillary Vein as an Alternative Method of Central Venous Cannulation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 153
- Locations
- 1
- Primary Endpoint
- Rate of successful catheterizations.
Study Overview
Brief Summary
The central line placement is the widespread procedure performed in the intensive care and emergency medicine. Indications for this procedure are chiefly lack of peripheral catheters, administration some medications, renal replacement therapy, parenteral nutrition and hemodynamic monitoring.
The procedure is performed by percutaneous puncture of large vein of the neck and the thorax - internal jugular vein or subclavian vein, then insertion of guidewire through the needle and placement of the catheter over the guidewire. The tip of the catheter is situated in the superior vena cava.
There are two techniques of catheterizations: landmark-based and ultrasound-guided. The most frequently cannulated veins in landmark-based approach are internal jugular and subclavian vein. The cannulation of the axillary vein is not common procedure in the intensive care unit, mainly due its complicated original technique.
The primary intention of this study was to describe and assess usefulness and safety of the new landmark-based technique of catheterization of the axillary vein in patients admitted to the intensive care unit.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients admitted to the intensive care unit with indications for central venous catheterization
Exclusion Criteria
- •chest wall deformities at the cannulations side
- •major hemostasis disorders
- •infections at the catheterization site
- •age less than 18 years
- •lack of patients consent
Arms & Interventions
axillary vein catheterization
Catheterization of the axillary vein based on anatomical landmark.
Intervention: Catheterization of the axillary vein. (Procedure)
Outcomes
Primary Outcomes
Rate of successful catheterizations.
Time Frame: 24 hours
Procedure success rate depending on physician experience.
Time Frame: 24 hours
Secondary Outcomes
- Rate of early complications.(24 hours)
Investigators
Ryszard Gawda, MD
Senior anesthesiologist
Uniwersytecki Szpital Kliniczny w Opolu