Optimal Insertion Depth of Left Internal Jugular Vein Catheter in Infants

Not Applicable

Completed

• Conditions: Infant; Central Venous Catheter
• Interventions: Procedure: 4Fr central venous catheter insertion

• Registration Number: NCT03025178
• Lead Sponsor: Seoul National University Hospital

Brief Summary

We previously performed a study to create formula for the optimal insertion depth of left internal jugular vein catheter in infant, which was registered at cris.nih.go.kr. We found that two calculation methods using height and the distance between landmarks (0.11 × height (cm) + 0.19 and 1.02 × I-A-B (cm) + 1.55, where I was insertion point of needle, A was the most prominent point of the sternal head of the left clavicle, and B was the midpoint of the perpendicular line drawn between the sternal head of the right clavicle and an imaginary line between the nipples) were clinically feasible to determine the insertion depth of left internal jugular vein catheter. In this study, we will compare the actual insertion depth with the insertion depth determined from above two calculation methods in other 46 infants.

Detailed Description

determine the optimal insertion depth of left internal jugular vein catheter in infants

Study Timeline

• Study First Submitted: 2017-01-17
• Study First Submitted QC: 2017-01-17
• Study First Posted: 2017-01-19
• Study Start: 2017-03-08
• Primary Completion: 2018-03-09
• Study Completion: 2018-04-01
• Status Verified: 2019-09
• Last Update Submitted: 2019-09-12
• Last Update Posted: 2019-09-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• An infant requiring a central venous catheter during surgery

Exclusion Criteria

• Extracardiac vascular anomaly
• Dextrocardia
• Anatomical abnormality in neck and thorax

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Central venous catheterization	4Fr central venous catheter insertion	Central venous catheterization will be performed using 4Fr central venous catheter at left internal jugular vein in infant. The tip of central venous catheter will be confirmed by transthoracic echocardiography. The actual insertion depth of central venous catheter will be compared to the predicted insertion depth derived from two calculation methods using height and the distance between the anatomical landmarks.

Primary Outcome Measures

Name	Time	Method
The actual insertion depth of central venous catheter	About 5 minutes during central venous catheterization (10 minutes after anesthetic induction)	The actual insertion depth of central venous catheter placed at left internal jugular vein

Secondary Outcome Measures

Name	Time	Method
The differences between the actual insertion depth and the predicted insertion depth derived from two calculation methods	About 5 minutes during central venous catheterization (10 minutes after anesthetic induction)	The differences between the actual insertion depth and the predicted insertion depth derived from two calculation methods

Trial Locations

Locations (1)

SNUH; 🇰🇷 Seoul, Jongro Gu, Korea, Republic of