Internal Jugular Venous Cannulation Using Jugular Venous Pulsation Versus Ultrasound In Patients Undergoing Major Elective Surgery

Jugular Venous Pulsation Approach Versus Ultrasound Guided Approach For Internal Jugular Venous Cannulation In Major Elective Surgery: A Randomized, Non inferiority Trial - NIL

Status

Active, not recruiting

Phases

Phase 1Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/01/079191

Enrollment

Registered

2025-01-21

Start date

Unknown

Completion date

Unknown

Last updated

2025-02-03

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

Conditions

Health Condition 1: I279- Pulmonary heart disease, unspecified

Interventions

Intervention1: Nil: Nil Intervention2: Ultrasound group: Under strict asepsis using USG linear probe (Philips CX50 ultrasound 13 S linear probe) draped in a sterile plastic sheath. Real-time short-axi

Eligibility

Inclusion criteria

Inclusion criteria: American Society Of Anaesthesiologists Grade I-III Patients In Which jugular venous pulsation is visible in supine position in at least lower 1/3 of neck undergoing Major Elective Surgery (cardiac and non - cardiac)

Exclusion criteria

Exclusion criteria: Emergency and sick patients-American Society of Anaesthesiologists grade IV, Intubated patients. Patients not having visible jugular venous pulsation. Skin or soft tissue infection at site of cannulation. Coagulopathies (International normalized ratio more than 1.5, Platelet count less than 50,000). Pathologies like superior vena cava syndrome, head, and neck tumour. Non patency of internal jugular vein, thrombosis of jugular vein . Patients with Body Mass index less than 18.5 kg /square metre. Patients with bounding carotid pulse such as aortic regurgitation.

Design outcomes

Primary

Measure	Time frame
Comparison of overall success rate of internal jugular vein cannulation between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: Internal jugular vein cannulation will be considered overall successful if it is achieved within three attempts.	—

Secondary

Measure	Time frame
Comparison of first attempt success rate between landmark approach using jugular venous pulsation and ultrasound guided approachTimepoint: Internal jugular vein cannulation will be considered successful at first attempt if it is achieved with first needle pass with or without forward and withdrawal movement on the same site.;Comparison of incidence of arterial puncture between landmark approach using Jugular venous pulsation and ultrasound guided approach.Timepoint: Carotid artery puncture will be defined as unintentional placement of needle or catheter into neck vessels that yielded bright red or pulsatile blood.;Comparison of time taken for successful cannulation between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: Time for successful cannulation is defined as time taken from ultrasound probe held on neck till successful cannulation of guidewire by Seldinger technique and confirmation of wire by transthoracic USG in subcostal view. In case of JVP guided central venous cannulation it is defined as time taken from identification of puncture site by JVP, till confirmation of wire by transthoracic USG in subcostal bicaval view.;Comparison of hematoma between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: Hematoma formation will be defined as formation of visible neck swelling at the site of cannulation (attempted cannulation).;Comparison of number of attempts in overall success rate between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: An Attempt is defined as passage of CVC needle at puncture site without any redirection and without withdrawing needle out of skin. A new site puncture of skin or redirection at the same site will be considered another attempt.	—

Measure

Time frame

Comparison of first attempt success rate between landmark approach using jugular venous pulsation and ultrasound guided approachTimepoint: Internal jugular vein cannulation will be considered successful at first attempt if it is achieved with first needle pass with or without forward and withdrawal movement on the same site.;Comparison of incidence of arterial puncture between landmark approach using Jugular venous pulsation and ultrasound guided approach.Timepoint: Carotid artery puncture will be defined as unintentional placement of needle or catheter into neck vessels that yielded bright red or pulsatile blood.;Comparison of time taken for successful cannulation between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: Time for successful cannulation is defined as time taken from ultrasound probe held on neck till successful cannulation of guidewire by Seldinger technique and confirmation of wire by transthoracic USG in subcostal view. In case of JVP guided central venous cannulation it is defined as time taken from identification of puncture site by JVP, till confirmation of wire by transthoracic USG in subcostal bicaval view.;Comparison of hematoma between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: Hematoma formation will be defined as formation of visible neck swelling at the site of cannulation (attempted cannulation).;Comparison of number of attempts in overall success rate between landmark approach using jugular venous pulsation and ultrasound guided approach.Timepoint: An Attempt is defined as passage of CVC needle at puncture site without any redirection and without withdrawing needle out of skin. A new site puncture of skin or redirection at the same site will be considered another attempt.

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Countries

India

Contacts

Public ContactDr Ajay Kumar

Aiims Rishikesh

ajaymishra0701@gmail.com9340482058

Outcome results

None listed

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