An Infraclavicular Landmark-based Approach to the Axillary Vein

Uniwersytecki Szpital Kliniczny w Opolu

Status: Completed

Conditions: Critical Illness

Treatments: Procedure: Catheterization of the axillary vein.

Study type: Interventional

Funder types: Other

Identifiers

NCT02083458

Axillary vein - WCM

Details and patient eligibility

About

The central line placement is the widespread procedure performed in the intensive care and emergency medicine. Indications for this procedure are chiefly lack of peripheral catheters, administration some medications, renal replacement therapy, parenteral nutrition and hemodynamic monitoring.

The procedure is performed by percutaneous puncture of large vein of the neck and the thorax - internal jugular vein or subclavian vein, then insertion of guidewire through the needle and placement of the catheter over the guidewire. The tip of the catheter is situated in the superior vena cava.

There are two techniques of catheterizations: landmark-based and ultrasound-guided. The most frequently cannulated veins in landmark-based approach are internal jugular and subclavian vein. The cannulation of the axillary vein is not common procedure in the intensive care unit, mainly due its complicated original technique.

The primary intention of this study was to describe and assess usefulness and safety of the new landmark-based technique of catheterization of the axillary vein in patients admitted to the intensive care unit.

Enrollment: 153 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients admitted to the intensive care unit with indications for central venous catheterization

Exclusion criteria

• chest wall deformities at the cannulations side
• major hemostasis disorders
• infections at the catheterization site
• age less than 18 years
• lack of patients consent

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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153 participants in 1 patient group

axillary vein catheterization

Experimental group

Description:

Catheterization of the axillary vein based on anatomical landmark.

Treatment:

Procedure: Catheterization of the axillary vein.