Comparative Study Between Ultrasound-Guided Brachiocephalic Vein and Internal Jugular Vein Cannulation in Mechanically Ventilated ICU Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 主要终点
- cannulation failure rate
研究概览
简要总结
This is a prospective randomized clinical trial aiming to compare the success rate, complications, and insertion time between ultrasound-guided brachiocephalic vein (BCV) and internal jugular vein (IJV) cannulation in mechanically ventilated patients in the intensive care unit (ICU). The goal is to determine whether BCV access offers a safer or more effective alternative in critically ill patients requiring central venous catheter placement.
详细描述
Central venous cannulation is a common and essential procedure in the management of critically ill patients, especially those requiring mechanical ventilation. Traditionally, the internal jugular vein (IJV) has been the preferred site. However, the brachiocephalic vein (BCV) has recently gained attention due to its potentially favorable anatomical location and reduced complication rates.
This study is designed to compare the outcomes of ultrasound-guided cannulation of the BCV versus the IJV, focusing on parameters such as success rate of insertion on first attempt, total cannulation time, and incidence of complications such as arterial puncture, pneumothorax, or hematoma formation. The study will be conducted on adult patients admitted to the ICU and undergoing mechanical ventilation
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •100 patients with age between ( 18 - 50 years old ) ventilated in ICU with need central venous access , with physical status II or III according to ASA classification .
排除标准
- •refusal of relatives of patients
- •Any contraindication of Central venous line insertion as thrombocytopenia , coagulopathy .... Etc
- •any suspected or documented thrombus inside vein
- •any congenital or acquired musculo-skeletal deformities of neck or clavicle
- •any active infections or signs of inflammation over insertion site
- •any previous procedures performed at the cannulation site
研究组 & 干预措施
candidates for BCV cannulation
干预措施: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients (Procedure)
candidates for IJV cannulation
干预措施: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients (Procedure)
结局指标
主要结局
cannulation failure rate
时间窗: Baseline
Failure to cannulate selected vein at 1st attempt
次要结局
未报告次要终点
研究者
Hasnaa Mohy Ibrhim
Resident doctor at department of anesthesia and ICU
Sohag University