Comparison of the Landmark Technique and the Static Ultrasound Guided Technique for Internal Jugular Vein Cannulation in Adult Cardiac Surgical Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 201
- 试验地点
- 2
- 主要终点
- success
研究概览
简要总结
Cannulation of the internal jugular vein (IJV) for central venous access is a standard practice in cardiac surgery. In this study, the authors tested the hypothesis that using an ultrasound (US) scanner would increase the success of IJV cannulation and decrease the incidence of complications in adult cardiac surgical patients.
The study will include adult cardiac surgical patients, randomized into two groups (control vs. US). In the control group, IJV cannulation will be performed by the conventional landmark technique using Seldinger method. In the US group, the course of the IJV will be marked before cannulation using a 2 - 4 MHz transthoracic echocardiography probe. The success rate, number of attempts, cannulation time and complication rate will be compared for the two groups.
详细描述
Use of real time ultrasound has recently been recommended as the standard of care for insertion of central venous catheters. However, its usage is limited by various factors which include availability, space constraints and perceived lack of need according to surveys including cardiovascular anesthesiologists. We will conduct a prospective randomized controlled trial to compare the conventional landmark technique with the static ultrasound (US) technique that utilized the transthoracic echocardiography (TTE) ultrasound probe which is supplied along with the transesophageal echocardiography machines for internal jugular vein cannulation in adult cardiac surgical patients.
After ethical committee approval and patient consent, adult patients scheduled for elective cardiac surgery will be randomized to undergo internal jugular vein cannulation by either of the two methods: standard landmark technique (group A: control group), static US technique using the TTE probe (group B: ultrasound group). The success rate, number of attempts, total cannulation time and complication rate in the two groups will be compared.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult patients scheduled for elective cardiac surgery
排除标准
- •patients undergoing bidirectional Glenn shunt, Fontan surgery or emergency surgery
- •local site infection
- •presence of coagulopathy
- •anatomical deformity of neck(burns, neck swelling, surgical scar)
研究组 & 干预措施
Landmark technique
The landmark technique is the standard technique used for internal jugular vein cannulation.
干预措施: landmark technique (Procedure)
Static Ultrasound technique
Static ultrasound technique was used to assist internal jugular vein cannulation.
干预措施: Static Ultrasound technique (Device)
结局指标
主要结局
success
时间窗: during internal jugular venous cannulation
Success was defined as location of the IJV by the finder needle within five attempts.
次要结局
- Central venous cannulation time(at the time of internal jugular venous cannulation)
- ultrasound time(at the time of internal jugular vein cannulation)
- total number of attempts by puncture needle(at the time of internal jugular vein cannulation)
- total cannulation time(at the time of internal jugular vein cannulation)
- First attempt sucess(at the time of internal jugular vein cannulation)
- complication rate(at the time of central venous cannulation)
- number of attempts by finder/locator needle(at the time of internal jugular vein cannulation)
研究者
Dr Deepti Saigal
Assistant Professor
Govind Ballabh Pant Hospital