Ultrasound-Guided BCV and IJV in ICU Patients

Sohag University

Status: Not yet enrolling

Conditions: Ultrasound-Guided Vascular Access; ICU Patients

Treatments: Procedure: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients

Study type: Interventional

Funder types: Other

Identifiers

NCT07062068

SU-BCV-IJV-2025

Details and patient eligibility

About

This is a prospective randomized clinical trial aiming to compare the success rate, complications, and insertion time between ultrasound-guided brachiocephalic vein (BCV) and internal jugular vein (IJV) cannulation in mechanically ventilated patients in the intensive care unit (ICU). The goal is to determine whether BCV access offers a safer or more effective alternative in critically ill patients requiring central venous catheter placement.

Full description

Central venous cannulation is a common and essential procedure in the management of critically ill patients, especially those requiring mechanical ventilation. Traditionally, the internal jugular vein (IJV) has been the preferred site. However, the brachiocephalic vein (BCV) has recently gained attention due to its potentially favorable anatomical location and reduced complication rates.

This study is designed to compare the outcomes of ultrasound-guided cannulation of the BCV versus the IJV, focusing on parameters such as success rate of insertion on first attempt, total cannulation time, and incidence of complications such as arterial puncture, pneumothorax, or hematoma formation. The study will be conducted on adult patients admitted to the ICU and undergoing mechanical ventilation

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

100 patients with age between ( 18 - 50 years old ) ventilated in ICU with need central venous access , with physical status II or III according to ASA classification .

Exclusion criteria

• refusal of relatives of patients
• Any contraindication of Central venous line insertion as thrombocytopenia , coagulopathy .... Etc
• any suspected or documented thrombus inside vein
• any congenital or acquired musculo-skeletal deformities of neck or clavicle
• any active infections or signs of inflammation over insertion site
• any previous procedures performed at the cannulation site

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

candidates for BCV cannulation

Active Comparator group

Treatment:

Procedure: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients

candidates for IJV cannulation

Active Comparator group

Treatment:

Procedure: ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients