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Making Central Line Insertion Safer: The Role of a Needle Guard

A randomized comparative study to evaluate the efficacy of ultrasound guided internal jugular vein cannulation in short axis approach using needle with a guard versus without a guard in SMS Medical College Jaipur. - Nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/09/093970
Enrollment
150
Registered
2025-09-01
Start date
Unknown
Completion date
Unknown
Last updated
2025-09-15

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: K77- Liver disorders in diseases classified elsewhere

Interventions

Intervention1: Ultrasound guided internal jugular vein cannulation in short axis approach using needle with a guard: Cannulation is performed with a central venous puncture needle fitted with a non-PV

Sponsors

Department of anaesthesia SMS medical college and attached hospital Jaipur
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients of either sex scheduled for any elective surgery requiring internal jugular vein (IJV) cannulation. Patients willing to provide informed consent. Patients classified as American Society of Anesthesiologists (ASA) grade 1, 2, or 3. Patient age between 19 and 65 years.

Exclusion criteria

Exclusion criteria: Any surgical intervention at the cannulation site. Present or past history of neck mass. Limited neck mobility. Patients with infection, burn, trauma, or subcutaneous hematoma close to the puncture site. Infection or phlebitis at the site of insertion. Patients with body mass index (BMI) greater than 35 kg/m?. Coagulopathy and internal jugular vein thrombus.

Design outcomes

Primary

MeasureTime frame
Number of attempts for successful internal jugular vein (IJV) cannulation between both groups. Incidence of posterior venous wall puncture between both groups.Timepoint: All outcomes were measured intra procedurally or immediately postprocedure. No long term or follow up assessment time points were specified.

Secondary

MeasureTime frame
Ease of cannulation between both groups which was based on operator satisfaction ratingTimepoint: All secondary outcomes were evaluated intra procedurally during the cannulation procedure & & immediately post procedure before the patient left the operating or procedure area.;Incidence of accidental common carotid artery puncture between both groups.Timepoint: ;Incidence of various anatomical relationships of the internal jugular vein with respect to common carotid artery between the two groups.Timepoint: ;Correlation of anatomical variation in relationship of IJV with respect to CCA in cases of accidental common carotid puncture between the two groups.Timepoint: ;Other complications such as pneumothorax, vertebral artery puncture, and damage to other important structures of the neck between both groups.Timepoint:

Countries

India

Contacts

Public ContactDr Poonam Kalra

SMS Medical College Jaipur

poonamkalra24@gmail.com9413416787

Outcome results

None listed

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