Influence of the Shoulder Position on the Catheter Tip Location During Infraclavicular Subclavian Approach

Seoul National University

Status: Completed

Conditions: Catheter Tip Location

Treatments: Procedure: neutral shoulder position; Procedure: lowered shoulder position

Study type: Interventional

Funder types: Other

Identifiers

NCT01024881

JHBahk_CVC shoulder position

Details and patient eligibility

About

Infraclavicular approach of the subclavian veins is commonly used for central venous access. Aberrant locations of catheter tip are frequently quoted for this approach, but few studies have been performed to document the relationship between the shoulder position and catheter tip location. This prospective study was performed to assess the influence of the shoulder position on the safe and proper placement of infraclavicular subclavian catheters.

Enrollment: 344 patients

Sex: All

Ages: 19 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• adult patients requiring central venous catheterization due to major procedures such as neurosurgery or thoracic surgery.

Exclusion criteria

• chest deformities,
• coagulopathy,
• diaphragmatic dysfunction,
• pulmonary malformation,
• history of prior clavicle fracture, or
• infection over the puncture site.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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344 participants in 2 patient groups

group 1

Active Comparator group

Description:

neutral shoulder position during infraclavicular subclavian catheterization

Treatment:

Procedure: neutral shoulder position

group 2

Experimental group

Description:

lowered shoulder position during infraclavicular subclavian catheterization

Treatment:

Procedure: lowered shoulder position