Virtual Reality With Ultrasound Versus Ultrasound For Central Line Insertion

Lawson Health Research Institute

Status: Completed

Conditions: Central Line Complication

Treatments: Device: Ultrasound; Device: Virtual Reality

Study type: Interventional

Funder types: Other

Identifiers

NCT01877031

R-11-607

Details and patient eligibility

About

We aim to compare the use of ultrasound guidance alone versus a magnetically tracked needle to look at the time taken to place a central line, or specifically the time taken to place a needle in the internal jugular vein prior to utilizing the Seldinger technique to insert a central line.

Full description

The purpose of this study is to examine the incremental benefit of a innovative, robust, intuitive and portable, virtual reality(VR) imaging platform capable of displaying a tracked virtual needle tip with path trajectory along with the real time ultrasound(US) image of an internal jugular vein compared to US imaging of the internal jugular vein alone to reduce the complications associated with insertion of central lines.

The studies primary outcome is the difference in time to insert a central line, from needle insertion to placement and confirmation of the wire in the internal jugular vein, compared to standard insertions using ultrasound guidance alone. Secondary outcomes will include the number of needle withdrawals, the incidence of carotid puncture and the incidence of pneumothorax. Finally, a subjective VAS rating of 1 to 10 for ease of insertion will be collected from participating anesthesiologists.

Enrollment: 192 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-80
• Require a central line inserted in the left jugular vein
• Undergoing surgery

Exclusion criteria

• Contraindication to left jugular vein insertion (absent vein, infection at site)
• Permanent or temporary pacemaker
• Emergency surgery

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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192 participants in 2 patient groups

Ultrasound

Active Comparator group

Description:

Ultrasound only guidance of central line insertion - current standard of care.

Treatment:

Device: Ultrasound

Virtual Reality

Experimental group

Description:

Use of ultrasound plus virtual reality guidance to insert central line

Treatment:

Device: Virtual Reality