About this trial
This is a prospective randomized clinical trial aiming to compare the success rate, complications, and insertion time between ultrasound-guided brachiocephalic vein (BCV) and internal jugular vein (IJV) cannulation in mechanically ventilated patients in the intensive care unit (ICU). The goal is to determine whether BCV access offers a safer or more effective alternative in critically ill patients requiring central venous catheter placement.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
refusal of relatives of patients
Any contraindication of Central venous line insertion as thrombocytopenia , coagulopathy …. Etc
any suspected or documented thrombus inside vein
any congenital or acquired musculo-skeletal deformities of neck or clavicle
Trial design
Parallel
Treatments tested in this trial
ultrasound guided Brachiocephalic vein and internal jugular vein cannulation in mechanically ventilated ICU patients
Procedure/SurgeryFor Arm ( candidates for BCV cannulation ) : by ultrasound guided we insert Central venous catheter in BCV under complete aseptic condition For Arm ( candidates for IJV cannulation ) by ultrasound guided we insert central venous catheter in IJV under complete aseptic conidtion we do comparison between the 2 arms as regard : 1st pass success rate , complications and failure rate in ventilated patient in ICU .
Treatment groups
Trial outcomes
Primary outcomes
cannulation failure rate
Failure to cannulate selected vein at 1st attempt
Locations
Sponsors and contacts
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