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A Difference in Subclavian Vein Catheterization Between Supine and Lateral Tilt Position - Stage II

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Seoul National University

Status

Unknown

Conditions

Posture
Catheterization

Treatments

Procedure: Ipsilateral tilt

Study type

Interventional

Funder types

Other

Identifiers

NCT03303274
1707-110-871-2

Details and patient eligibility

About

Central venous catheterization is widely used for various purposes during surgery. For central venous catheterization, subclavian vein is selected because of the relatively low risk of infection, long-term patency and low patient discomfort. The cross - sectional area of the subclavian vein is an important factor to increase success rate. Several studies have reported that the Trendelenburg position increases the cross-sectional area of the subclavian vein, and the lateral tilt position can change the cross-sectional area of the subclavian vein. However, the impact of lateral tilt position to the cross-sectional area of the subclavian vein is not clear. The ipsilateral position can increase the cross-sectional area of the subclavian vein, and the contralateral position can decrease the cross-sectional area by gravity.

In the second stage of this study, the investigators would like to compare the success rate, the number of needle passage, time to complete subclavian vein catheterization in supine and ipsilateral tile position.

Enrollment

220 estimated patients

Sex

All

Ages

20 to 79 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • the patients who receive elective neurosurgical surgery and require central venous catheter

Exclusion criteria

  • the patients who have puncture site infection
  • the patients who have chemoport, pacemaker in right subclavian vein
  • the patients who had received right mastectomy or right pneumonectomy
  • other contraindications for subclavian venous catheterization (eg. mass, hematoma, vegetation, and anticoagulation)

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

220 participants in 2 patient groups

Ipsilateral tilt
Experimental group
Description:
The operation table will be tilted 20 degrees right laterally before subclavian venous catheterization.
Treatment:
Procedure: Ipsilateral tilt
Supine
No Intervention group
Description:
Catheterization of right subclavian vein in supine position.

Trial contacts and locations

0

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Central trial contact

Hyung-Chul Lee, MD

Data sourced from clinicaltrials.gov

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