Comparison of Three Techniques for Ultrasound-guided Internal Jugular Cannulation (OISO-1)

Mikel Batllori

Status: Completed

Conditions: Ultrasound-guided Internal Jugular Cannulation; Central Venous Access Complications

Treatments: Procedure: Ultrasound-guided Internal jugular venous approach

Study type: Interventional

Funder types: Other

Identifiers

NCT01966354

PI12/00679

Details and patient eligibility

About

The purpose of this study is to assess the efficacy and safety of three ultrasound assistance techniques for internal jugular venous cannulation, in terms of cannulation success and prevention of complications.

Enrollment: 220 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 18 or older
• Indication for internal jugular venous cannulation, previously established by the doctor responsible for the patient´s hospital diagnosis and treatment
• Informed consent for trial participation has been obtained from the patient

Exclusion criteria

• Infection signs at or close to puncture site
• Cutaneous erosions or subcutaneous haematoma at or close to puncture site
• History of internal jugular venous cannulation during the past 72 hours (in the same side in which the present cannulation is taking place)
• History of previous surgical interventions on the cannulation site
• Recent cervical trauma with present neck immobilization and without having ruled out eventual cervical spinal injury
• Severe coagulopathy (altered coagulation parameters and active bleeding) which cannot be promptly corrected by platelet, fresh frozen plasma or pharmacologic intervention
• Subcutaneous emphysema with cervical extension
• Agitated or uncooperative patient (including deep sedation)
• Inability to obtain formal informed consent from the patient or his legally authorized representative (in case the patient is legally incompetent to give informed consent)
• Cannulation being performed outside the surgical area or the post-anesthesia care unit

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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220 participants in 3 patient groups

Long axis, in-plane needle

Experimental group

Description:

Ultrasound-guided Internal jugular venous approach Long axis, in-plane needle: Jugular vein is ultrasonographically visualized in a longitudinal fashion (long axis) and the needle is inserted in the same ultrasound plane, aligned with the longitudinal axis of the transducer.

Treatment:

Procedure: Ultrasound-guided Internal jugular venous approach

Short axis, out-of-plane needle

Experimental group

Description:

Ultrasound-guided Internal jugular venous approach Short axis, out-of-plane needle: Jugular vein is ultrasonographically visualized in a transverse fashion (short axis) and the needle is inserted perpendicular to the longitudinal axis of the transducer (out-of-plane).

Treatment:

Procedure: Ultrasound-guided Internal jugular venous approach

Oblique axis, in-plane needle

Experimental group

Description:

Ultrasound-guided Internal jugular venous approach Oblique axis, in-plane needle: Jugular vein is ultrasonographically visualized in an oblique axis (intermediate view between long and short axis) and the needle is inserted in the same ultrasound plane, aligned with the longitudinal axis of the transducer.

Treatment:

Procedure: Ultrasound-guided Internal jugular venous approach