Insertion Angle and Needle Visualization During Ultrasound Guided Internal Jugular Vein Cannulation (US_angle)

Mansoura University

Status: Unknown

Conditions: Internal Jugular Vein Cannulation

Treatments: Device: needle PLT-805AT; Device: Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT02941094

refa-US-angle

Details and patient eligibility

About

Ultrasound guidance has been established as an effective and safe method during insertion of internal jugular vein catheter.. Needle visualization during advancement toward the vein has a great impact on both safety and success of the procedure. Clinicians have adopted variable techniques to increase needle visualization including changing needle- probe relation (in-plane vs. out-of-plane), or using specific ultrasound needles The angle between the inserting needle and the probe lying on patient skin affects both the distance to the vein and the length of the needle part travelling through the us beam

Enrollment: 150 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all patients requiring central line insertion

Exclusion criteria

• refusal
• coagulopathy
• neck surgeries

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 3 patient groups

angle 30 group

Active Comparator group

Description:

During central line insertion, After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 30-40 degree.

Treatment:

Device: Ultrasound

Device: needle PLT-805AT

angle 50 group

Active Comparator group

Description:

During central line insertion,After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 50-60 degree

Treatment:

Device: Ultrasound

Device: needle PLT-805AT

angle 70 group

Active Comparator group

Description:

During central line insertion,After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 60-80 degree

Treatment:

Device: Ultrasound

Device: needle PLT-805AT