comparison of ultrasound guided two approaches of subclavian vein cannulation

Short axis vs oblique axis approach for ultrasound guided infraclavicular subclavian vein cannulation : A randomised clinical trial

Status

Active, not recruiting

Phases

Phase 3Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2023/06/054075

Enrollment

200

Registered

2023-06-19

Start date

Unknown

Completion date

Unknown

Last updated

2023-06-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere Health Condition 2: S30-S39- Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals Health Condition 3: I20-I25- Ischemic heart diseases Health Condition 4: I26-I28- Pulmonary heart disease and diseases of pulmonary circulation

Interventions

Intervention1: Short axis cannulation of subclavian vein: Probe is placed perpendicular to the clavicle to get out of plane approach and find out the time required for venous puncture and cannulation,

Eligibility

Inclusion criteria

Inclusion criteria: Patient > 18 years Patient requiring central venous catheterisation for any clinical reason

Exclusion criteria

Exclusion criteria: Patients with Coagulopathies (Severe coagulation abnormalities (platelets =1.5, or PTT >=50 s) will be corrected before Cannulation Patient on therapeutic anticoagulants Distorted chest anatomy Superior vena cava syndrome Infective Endocarditis Infection at the cannulation site

Design outcomes

Primary

Measure	Time frame
To compare the success rate of short-axis versus Oblique-axis approaches with ultrasound-guided infraclavicular subclavian vein cannulation. Timepoint: 1)During the procedure at baseline 2)At the end of procedure to assess the complications and success rate within 6hrs	—

Secondary

Measure	Time frame
â?¢Venous visualization time â?¢Venous Puncture Time â?¢Insertion time â?¢Catheterisation Time â?¢Total Procedural Time â?¢First puncture with single pass success rate Defined as the first puncture success rate without needle redirections â?¢Number of needle redirections â?¢Number of separate skin punctures â?¢Number of vessel punctures â?¢Rate of mechanical complications (pneumothorax, haemothorax, arterial puncture) â?¢Catheter misplacements â?¢Infection complicationsTimepoint: 1)During the procedure at baseline 2)At the end of procedure to assess complication and success rate within 6hrs	—

Measure

Time frame

â?¢Venous visualization time â?¢Venous Puncture Time â?¢Insertion time â?¢Catheterisation Time â?¢Total Procedural Time â?¢First puncture with single pass success rate Defined as the first puncture success rate without needle redirections â?¢Number of needle redirections â?¢Number of separate skin punctures â?¢Number of vessel punctures â?¢Rate of mechanical complications (pneumothorax, haemothorax, arterial puncture) â?¢Catheter misplacements â?¢Infection complicationsTimepoint: 1)During the procedure at baseline 2)At the end of procedure to assess complication and success rate within 6hrs

—

Countries

India

Contacts

Public ContactGeethika Madhu

AIIMS New Delhi

bikashray.aiims@gmail.com9899323110

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026