Comparison of Short-Axis and Long-Axis Internal Jugular Vein Cannulation for First-Pass Success
8. Juli 2026 aktualisiert von: Ahmad, University of Health Sciences Lahore
Comparison Between Short Axis and Long Axis For Cannulation Of Internal Jugular Vein in Terms Of First Pass Success
To compare the frequency of first pass success by short axis versus long axis for cannulation of internal jugular vein.
Studienübersicht
Status
Noch keine Rekrutierung
Bedingungen
Detaillierte Beschreibung
This randomized controlled trial aims to compare the effectiveness of short-axis and long-axis ultrasound-guided approaches for cannulation of the internal jugular vein (IJV) in terms of first-pass success. Central venous catheterization is a commonly performed procedure for invasive monitoring and administration of medications and fluids. Ultrasound guidance has improved the safety and success of IJV cannulation compared with traditional landmark-based techniques; however, uncertainty remains regarding the optimal ultrasound imaging approach.
A total of 60 eligible patients undergoing IJV cannulation will be enrolled and randomly allocated into two equal groups. Participants in Group A will undergo ultrasound-guided IJV cannulation using the short-axis approach, while participants in Group B will undergo cannulation using the long-axis approach. All procedures will be performed by the researcher under direct supervision using standardized ultrasound-guided techniques.
The primary objective is to compare the frequency of first-pass success between the two approaches. First-pass success is defined as successful IJV cannulation with a single skin puncture and without needle redirection. Baseline demographic and clinical characteristics will be recorded before the procedure. The findings of this study may help identify the preferred ultrasound-guided technique for maximizing first-pass success during IJV cannulation and potentially reducing procedure-related complications associated with multiple cannulation attempts.
Studientyp
Interventionell
Einschreibung (Geschätzt)
10
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienkontakt
- Name: Waleed Noor, MBBS FCPS
- Telefonnummer: +923154960902
- E-Mail: mrwaleed2394@gmail.com
Studieren Sie die Kontaktsicherung
- Name: Shahida Khawaja, MBBS FCPS
- Telefonnummer: +92 300 8462091
- E-Mail: khawaja.shahida@gmail.com
Studienorte
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Punjab Province
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Lahore, Punjab Province, Pakistan, 54000
- National Hospital and Medical Center
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Kontakt:
- National Hospital and Medical Center
- Telefonnummer: +9242 111 17 18 19
- E-Mail: info@nationalhospital.org
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Nein
Beschreibung
Inclusion Criteria:
- Age 25-70 years.
- Either male or female gender.
- Undergoing cannulation of IJV.
Exclusion Criteria:
- Patients who will be on hemodialysis therapy through double lumen catheter in IJV, assessed by reviewing previous medical records.
- Patients who will have history of previous insertion of IJV line, assessed by reviewing previous medical records.
- Patients with history of neck surgery, assessed by reviewing previous medical records.
- Uncooperative patient.
- Platelet count < 50,000/mm3.
- International normalized ration 3 times upper normal limit (1.1).
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Verhütung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Aktiver Komparator: Group A (Short-Axis Approach)
In this approach, IJV will be visualized by placing the transducer in a transverse orientation on the patient neck at the level of the cricoid cartilage.
The needle will be inserted at 60° to the vertical and will be advanced toward the vein employing gentle aspiration on the attached syringe.
Entry to the vein will be confirmed by visualizing indentation of the anterior wall of the vein followed by blood in the syringe and by visualizing the tip of the needle inside the vein.
Guide wire will be passed followed by dilator insertion and finally central vein line.
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Internal jugular vein cannulation performed under ultrasound guidance using the short-axis approach.
The transducer is placed in a transverse orientation at the level of the cricoid cartilage, allowing visualization of the internal jugular vein and carotid artery during needle insertion.
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Aktiver Komparator: Group B (Long-Axis Approach)
In this approach, the probe will be centered on the IJV and rotated through 90° in a clockwise direction resulting in long axis image of the vein.
The needle insertion point will be directly beneath the most proximal end of the ultrasound probe.
The needle will be inserted at 30° to the vertical and will be advanced toward the vein employing gentle aspiration.
Entry to the vein will be confirmed by visualizing needle entry into the vein followed by aspiration of blood in the syringe.
Guide wire will be inserted followed by dilator insertion and finally central vein line.
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Internal jugular vein cannulation performed under ultrasound guidance using the long-axis approach.
The transducer is rotated to obtain a longitudinal view of the internal jugular vein, allowing continuous visualization of the needle during vessel cannulation.
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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First-Pass Success Rate of Ultrasound-Guided Internal Jugular Vein Cannulation
Zeitfenster: Assessed during the cannulation procedure (within 5 minutes of initiation of cannulation).
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First-pass success rate of ultrasound-guided internal jugular vein cannulation, defined as successful venous cannulation with a single skin puncture and needle pass.
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Assessed during the cannulation procedure (within 5 minutes of initiation of cannulation).
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Total Cannulation Success Rate
Zeitfenster: Assessed during the procedure (within 15 minutes).
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Total cannulation success rate, defined as successful placement of the internal jugular venous catheter.
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Assessed during the procedure (within 15 minutes).
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Number of Needle Passes Required for Successful Cannulation
Zeitfenster: Recorded during the procedure.
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Total number of needle insertion attempts required to achieve successful ultrasound-guided internal jugular vein cannulation.
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Recorded during the procedure.
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Incidence of Hematoma Formation at the Cannulation Site
Zeitfenster: Assessed immediately after the procedure and within 24 hours.
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Occurrence of hematoma at the internal jugular vein cannulation site following ultrasound-guided catheter insertion.
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Assessed immediately after the procedure and within 24 hours.
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Incidence of Posterior Vessel Wall Puncture
Zeitfenster: Assessed during the procedure.
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Occurrence of unintended puncture of the posterior wall of the internal jugular vein during ultrasound-guided cannulation.
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Assessed during the procedure.
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Incidence of Pneumothorax Following Cannulation
Zeitfenster: Assessed within 24 hours following cannulation.
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Occurrence of pneumothorax associated with ultrasound-guided internal jugular vein cannulation.
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Assessed within 24 hours following cannulation.
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Overall Procedure-Related Complications
Zeitfenster: Assessed during the procedure and up to 24 hours after cannulation.
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Frequency of procedure-related adverse events, including hematoma, posterior vessel wall puncture, pneumothorax, or other complications occurring during or after ultrasound-guided internal jugular vein cannulation.
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Assessed during the procedure and up to 24 hours after cannulation.
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Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Ermittler
- Studienstuhl: Shahida Khawaja, MBBS, FCPS, National Hospital and Medical Center
Publikationen und hilfreiche Links
Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.
Allgemeine Veröffentlichungen
- Shrestha GS, Gurung A, Koirala S. Comparison between long- and short-axis techniques for ultrasound-guided cannulation of internal jugular vein. Ann Card Anaesth. 2016 Apr-Jun;19(2):288-92. doi: 10.4103/0971-9784.179629.
- Rath A, Mishra SB, Pati B, Dhar SK, Ipsita S, Samal S, Azim A. Short versus long axis ultrasound guided approach for internal jugular vein cannulations: A prospective randomized controlled trial. Am J Emerg Med. 2020 Apr;38(4):731-734. doi: 10.1016/j.ajem.2019.06.010. Epub 2019 Jun 14.
- Tolson OW. Should central venous pressure be used to guide critical care management? Br J Hosp Med (Lond). 2022 Oct 2;83(10):1-3. doi: 10.12968/hmed.2022.0167. Epub 2022 Oct 11.
Nützliche Links
- Should central venous pressure be used to guide critical care management?
- Central venous catheterization in cancer patients with severe thrombocytopenia: Ultrasound-guide improves safety avoiding prophylactic platelet transfusion
- Short versus long axis ultrasound guided approach for internal jugular vein cannulations: A prospective randomized controlled trial
- Comparing 1st Pass Success Rate and Number of Attempts for Internal Jugular Vein Cannulation by USG Guided Approach: Short Axis versus Long Axis Technique
- A Comparative Study of Internal Jugular Vein Cannulation under Ultrasound Guidance Using Short Axis or Long Axis View Approach
- Comparison between long- and short-axis techniques for ultrasound-guided cannulation of internal jugular vein
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn (Geschätzt)
1. Oktober 2026
Primärer Abschluss (Geschätzt)
1. April 2027
Studienabschluss (Geschätzt)
1. April 2027
Studienanmeldedaten
Zuerst eingereicht
25. Juni 2026
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
2. Juli 2026
Zuerst gepostet (Tatsächlich)
9. Juli 2026
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
10. Juli 2026
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
8. Juli 2026
Zuletzt verifiziert
1. Juli 2026
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
- 06-10-2023
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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