Direct Measurement of Ideal Depth of Central Line

Direct Measurement of Ideal Depth of Central Line for Right Internal Jugular Venous Catheterization in Adults

Total of 89 patients undergoing elective cardiac surgery will be enrolled.

Right CVC insertion begins at their intersection of the cricoid cartilage level and the triangular point where the sternal head of the SCM muscle meets the clavicular head. After insertion the central venous catheter through the right internal jugular vein and positioning it, the location of the tip of the central venous catheter will be confirmed by TEE.

Study Overview

• Status: Completed
• Conditions: Patient Safety During Central Venous Catheterization
• Intervention / Treatment: Procedure: central venous catheterization through Rt. IJV

Detailed Description

Investigator confirms the location of the 2 cm from the junction between right atrium and superior vena cava to the end of the tip of the catheter using TEE, and measures the insertion depth of the catheter at insertion point. It is possible to find the ideal central venous catheter insertion depth in actual clinical practice in adult patient.

The ideal central venous catheter insertion depth can be measured accurately when the end of the central venous catheter is monitored with transesophageal ultrasonography, and it can be derived a meaningful formula for predicting the ideal central venous insertion depth from the patient's height .

• Study Type: Interventional
• Enrollment (Actual): 89
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Korea, Republic of
  • Daegu, Korea, Republic of
    • Dongsan Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• adult patient over 18 years of age undergoing cardiac surgery under general anesthesia, requiring central venous catheter insertion through the right internal jugular vein and insertion of a TEE probe

Exclusion Criteria:

• Patients who disagree with the study.
• Patients who had difficulty in inserting the central line through the right internal jugular vein.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: CVC catheterization through Rt. IJV; The depth of central venous catheter during central venous catheterization through Rt. IJV will be decided by using real-time TEE. The position of tip of CVC will be guided by TEE to fit the tip at 2 cm away from the junction between right atrium and superior vena cava.	Procedure: central venous catheterization through Rt. IJV; insertion at the intersection of the cricoid cartilage level and the triangular point where the sternal head of the SCM muscle meets the clavicular head; placement of the tip of the catheter 2 cm away from the junction between right atrium and superior vena cava using TEE; measurement of the depth of the catheter at insertion point

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
depth of the central venous catheter in right internal jugular vein	at time of insertion of the central venous catheter

Collaborators and Investigators

• Sponsor: Keimyung University Dongsan Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): April 5, 2017
• Primary Completion (Actual): August 25, 2017
• Study Completion (Actual): August 28, 2017

Study Registration Dates

• First Submitted: April 4, 2017
• First Submitted That Met QC Criteria: April 11, 2017
• First Posted (Actual): April 17, 2017

Study Record Updates

• Last Update Posted (Actual): June 16, 2020
• Last Update Submitted That Met QC Criteria: June 13, 2020
• Last Verified: June 1, 2020

More Information

Terms related to this study

• Keywords: catheterization, central venous; jugular veins; echocardiography, transesophageal
• Other Study ID Numbers: ideal depth of central line

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No