Comparison of the Needle Tip Location by the Position of the Operator During Ultrasound Guided LIJV Catheterization.

Comparison of the Needle Tip Location According to the Position of the Operator During Short Axis Ultrasound Guided Central Venous Catheterization in the Left Internal Jugular Vein

When the left internal jugular vein catheterization under short-axis ultrasound guided, an operator should be stand around the lying patient's head. The investigators are going to evaluate to effects of the operator's location.

Study Overview

• Status: Unknown
• Conditions: Catheterization, Central Venous
• Intervention / Treatment: Other: Position change; Other: Conventional position

Detailed Description

When placing the central line catheter in the left internal jugular vein under short-axis ultrasound guided, an operator should be stand around the lying patient's head. The investigators are going to evaluate to effects of the operator's location. (Above the midline of patient's head versus above the left extended axillary line)

• Study Type: Interventional
• Enrollment (Anticipated): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Korea, Republic of
  • Seoul, Korea, Republic of, 07061
    • Recruiting
    • Seoul National University Hospital
    • Contact: Tae Kyong Kim, MD; Phone Number: 82-10-3750-5193; Email: ktkktk@gmail.com
    • Contact: Dong Wook Won, MD; Phone Number: 82-10-3194-9471; Email: won2501@naver.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Central venous catheterization required on lt. IJV

Exclusion Criteria:

• History of cervical spine surgery
• Abnormal structure of cervical spine, carotid artery or jugular vein
• Disease of carotid artery
• Immobilization due to cervical spine fracture or other diseases.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Extended axillary midline; Operator stands at the bedside on extended midline of the patient's lt. axilla during lt. internal jugular vein catheterization	Other: Position change; Different position during central line catheterization
Active Comparator: Extended head midline; Operator stands at the bedside on extended midline of the patient's head during lt. internal jugular vein catheterization.	Other: Conventional position; Conventional position during central line catheterization

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Distance from needle tip to center of IJV	The distance that the needle tip is placed from the center of the jugular vein when the needle is fixed after the vascular puncture	intraoperative

Collaborators and Investigators

• Sponsor: Seoul National University Hospital
• Investigators: Study Director: Tae Kyong Kim, MD, phD, SMG-SNU Boramae Hospital

Publications and helpful links

General Publications

• Ishizuka M, Nagata H, Takagi K, Kubota K. Right internal jugular vein is recommended for central venous catheterization. J Invest Surg. 2010 Apr;23(2):110-4. doi: 10.3109/08941930903469342.
• Lobato EB, Sulek CA, Moody RL, Morey TE. Cross-sectional area of the right and left internal jugular veins. J Cardiothorac Vasc Anesth. 1999 Apr;13(2):136-8. doi: 10.1016/s1053-0770(99)90075-7.
• Sulek CA, Blas ML, Lobato EB. A randomized study of left versus right internal jugular vein cannulation in adults. J Clin Anesth. 2000 Mar;12(2):142-5. doi: 10.1016/s0952-8180(00)00129-x.
• Lieberman JA, Williams KA, Rosenberg AL. Optimal head rotation for internal jugular vein cannulation when relying on external landmarks. Anesth Analg. 2004 Oct;99(4):982-988. doi: 10.1213/01.ANE.0000132908.77111.CA.
• Min SW, Kim H, Won D, Chang JE, Lee JM, Hwang JY, Kim TK. Comparison of the needle tip location with the operator's position during ultrasound-guided internal jugular vein catheterization: A randomized controlled study. Medicine (Baltimore). 2022 Oct 28;101(43):e31249. doi: 10.1097/MD.0000000000031249.

Study record dates

Study Major Dates

• Study Start (Actual): May 2, 2019
• Primary Completion (Anticipated): April 30, 2020
• Study Completion (Anticipated): June 30, 2020

Study Registration Dates

• First Submitted: May 2, 2019
• First Submitted That Met QC Criteria: May 2, 2019
• First Posted (Actual): May 3, 2019

Study Record Updates

• Last Update Posted (Actual): May 3, 2019
• Last Update Submitted That Met QC Criteria: May 2, 2019
• Last Verified: May 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: 20190311/10-2019-7/041

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