Optimal Insertion Depth of Left Internal Jugular Vein Catheter in Infants

Seoul National University

Status: Completed

Conditions: Infant; Central Venous Catheter

Treatments: Procedure: 4Fr central venous catheter insertion

Study type: Interventional

Funder types: Other

Identifiers

NCT03025178

H1701-038-821

Details and patient eligibility

About

We previously performed a study to create formula for the optimal insertion depth of left internal jugular vein catheter in infant, which was registered at cris.nih.go.kr. We found that two calculation methods using height and the distance between landmarks (0.11 × height (cm) + 0.19 and 1.02 × I-A-B (cm) + 1.55, where I was insertion point of needle, A was the most prominent point of the sternal head of the left clavicle, and B was the midpoint of the perpendicular line drawn between the sternal head of the right clavicle and an imaginary line between the nipples) were clinically feasible to determine the insertion depth of left internal jugular vein catheter. In this study, we will compare the actual insertion depth with the insertion depth determined from above two calculation methods in other 46 infants.

Full description

determine the optimal insertion depth of left internal jugular vein catheter in infants

Enrollment: 46 patients

Sex: All

Ages: Under 1 year old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• An infant requiring a central venous catheter during surgery

Exclusion criteria

• Extracardiac vascular anomaly
• Dextrocardia
• Anatomical abnormality in neck and thorax

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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46 participants in 1 patient group

Central venous catheterization

Experimental group

Description:

Central venous catheterization will be performed using 4Fr central venous catheter at left internal jugular vein in infant. The tip of central venous catheter will be confirmed by transthoracic echocardiography. The actual insertion depth of central venous catheter will be compared to the predicted insertion depth derived from two calculation methods using height and the distance between the anatomical landmarks.

Treatment:

Procedure: 4Fr central venous catheter insertion