None listed
Conditions
Brief summary
To assess whether ultrasound-guided axillary vein cannulation is more successful, less difficult and has fewer complications than landmark-guided infraclavicular subclavian vein cannulation for central venous access (CVA) in the intensive care unit. The hypothesis is that ultrasound-guided axillary vein cannulation is more successful, less difficult and has less complications than the traditional infraclavicular approach
Interventions
Ultrasound-guided axillary vein cannulation for central venous access in intensive care patients compared to traditional infraclavicular subclavian vein cannulation for central venous access . Study to be conducted over 1 year, with 40 patients in each arm. Each adult patient requiring a subclavian vein central venous cannulation (CVC) to potentially be enrolled (if no exclusion criteria), then randomised to either intervention. CVC to take approx 20 minutes from initial skin puncture, using the
Ultrasound-guided axillary vein cannulation for central venous access in intensive care patients compared to traditional infraclavicular subclavian vein cannulation for central venous access . Study to be conducted over 1 year, with 40 patients in each arm. Each adult patient requiring a subclavian vein central venous cannulation (CVC) to potentially be enrolled (if no exclusion criteria), then randomised to either intervention. CVC to take approx 20 minutes from initial skin puncture, using the Seldinger technique for cannulation and will occur only once in each participant. Success/Failure of procedure, duration of intervention (from skin puncture to blood flashback) to be recorded, number of skin punctures recorded, if assistance required and any complications (e.g. pneumothorax) recorded. Post-procedure Chest Xray to determine position of catheter tip (ie in Superior Vena Cava).
Sponsors
Dr Robert Melvin
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All patients requiring a subclavian central venous cannula as part of their treatment/monitoring in the Intensive Care Unit
Exclusion criteria
Patients requiring a central venous cannula but with overlying infection, burn or skin damage at puncture site; coagulopathy; pneumothorax on contralateral side; distorted anatomy or trauma at cannulation site
Outcome results
None listed