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Comparison of Short-Axis and Long-Axis Internal Jugular Vein Cannulation for First-Pass Success

ConditionCannulation of Internal Jugular Vein
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-70
SponsorUniversity of Health Sciences Lahore

About this trial

To compare the frequency of first pass success by short axis versus long axis for cannulation of internal jugular vein.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 25-70 years.

Either male or female gender.

Undergoing cannulation of IJV.

Disqualifiers

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.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Short-Axis Ultrasound-Guided Internal Jugular Vein Cannulation

    Device

    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.

  • Long-Axis Ultrasound-Guided Internal Jugular Vein Cannulation

    Device

    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.

Treatment groups

10 Participants
are divided into 2 treatment groups
Group A: Group A (Short-Axis Approach)Active comparator 1 intervention
Group B: Group B (Long-Axis Approach)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

First-Pass Success Rate of Ultrasound-Guided Internal Jugular Vein Cannulation

First-pass success rate of ultrasound-guided internal jugular vein cannulation, defined as successful venous cannulation with a single skin puncture and needle pass.

Time frame
Assessed during the cannulation procedure (within 5 minutes of initiation of cannulation).

Secondary outcomes

1

Total Cannulation Success Rate

Total cannulation success rate, defined as successful placement of the internal jugular venous catheter.

Time frame
Assessed during the procedure (within 15 minutes).
2

Number of Needle Passes Required for Successful Cannulation

Total number of needle insertion attempts required to achieve successful ultrasound-guided internal jugular vein cannulation.

Time frame
Recorded during the procedure.
3

Incidence of Hematoma Formation at the Cannulation Site

Occurrence of hematoma at the internal jugular vein cannulation site following ultrasound-guided catheter insertion.

Time frame
Assessed immediately after the procedure and within 24 hours.
4

Incidence of Posterior Vessel Wall Puncture

Occurrence of unintended puncture of the posterior wall of the internal jugular vein during ultrasound-guided cannulation.

Time frame
Assessed during the procedure.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Health Sciences Lahore

Lead sponsor

Source ClinicalTrials.gov

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