Ultrasound-guided Oblique View of Axillary Vein canulation versus Oblique View of Internal Jugular Vein Canulation: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Performing time for ultrasound-guided cannulation in oblique view of axillary vein versus oblique view of internal jugular vein. Performing time is defined as the time duration from puncture of skin to visualization of the guidewire in vein.
研究概览
简要总结
This randomized controlled trial will compare the ultrasound guided oblique view of axillary vein cannulation with the ultrasound guided oblique view of internal jugular vein cannulation in adult patients who require central venous access in the emergency department of AIIMS Bhubaneswar. A total of 80 patients will be enrolled and randomly assigned to either axillary or internal jugular vein groups. The study will assess the performing time, first attempt success rate, and complications such as arterial puncture, hematoma, or pneumothorax. All procedures will be carried out under strict aseptic precautions by trained emergency medicine residents. The study aims to determine which ultrasound guided approach provides faster, safer, and more effective central venous cannulation in emergency settings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 85.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients having indication for central venous cannulation Age 18 to 85 years Intubated patients.
排除标准
- •Skin infection and previous surgery at the catheterization site INR more than 2 and platelet count less than 50000 Clavicle or proximal ribs fracture in trauma patients Pregnancy Moderate to end stage chronic kidney disease Severe hypoxemia or apical bullous lung disease Obese patients BMI more than 30 kg per m² Refusal to participate Suspected coagulation disorders Congenital malformations of neck Thrombosis of axillary vein or internal jugular vein.
结局指标
主要结局
Performing time for ultrasound-guided cannulation in oblique view of axillary vein versus oblique view of internal jugular vein. Performing time is defined as the time duration from puncture of skin to visualization of the guidewire in vein.
时间窗: 0 , 5 , 15 , 30 minutes
次要结局
- First attempt success rate(0 , 1 , 5 minutes)
- Incidence of complications such as arterial puncture, hematoma, pneumothorax, or catheter misplacement.(0, 1 hour, 2 hours , 4 hours)
研究者
Dr Sangeeta Sahoo
Aiims Bhubaneswar