Comparison of Two Ultrasound Views to Place a Vein Line in Infants Below 5 kg

A Comparison of Short-Axis and Medial Oblique Axis Out-of-Plane Ultrasound-Guided Internal Jugular Vein Cannulation in Children Weighing Under 5 kg: A randomized clinical trial - nil

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/11/097822

Enrollment

108

Registered

2025-11-21

Start date

Unknown

Completion date

Unknown

Last updated

2025-12-08

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Rt. IJV Cannulation using Medial Oblique axis - Out of Plane: A short-axis (SAX) ultrasound view of the right internal jugular vein (IJV) is obtained first. Next, the transducer is rota

Eligibility

Inclusion criteria

Inclusion criteria: Children weighing less than 5kg requiring elective right IJV CVC cannulation

Exclusion criteria

Exclusion criteria: 1. Presence of bilateral superior vena cava 2. Infection at or near the puncture site 3. Prior subcutaneous hematoma at the insertion site 4. Known coagulopathy 5. Thrombus in the right internal jugular vein (IJV) 6. Anatomic malformation in the neck

Design outcomes

Primary

Measure	Time frame
This study aims to compares the first-attempt success rates of guidewire insertion into the right internal jugular vein during central venous catheterization using either the short-axis out-of-plane or the medial oblique-axis out-of-plane technique.Timepoint: At the time of cannula insertion	—

Secondary

Measure	Time frame
Number of attempts required for successful cannulationTimepoint: During the cannulation procedure;Time taken for guidewire insertion (from needle puncture to guidewire visualization in IJV)Timepoint: Measured during the procedure;Incidence of cannulation-related complications (hematoma, carotid artery puncture, posterior wall puncture of IJV)Timepoint: Within 30 minutes post-procedure;Vertical and horizontal diameter of IJVTimepoint: During pre-procedural ultrasound scan;Relation and position of carotid artery (CA) to IJVTimepoint: During pre-procedural ultrasound scan;Degree of overlapping of IJV with CATimepoint: During pre-procedural ultrasound scan;Successful complete insertion of the entire cannula lengthTimepoint: Immediately after catheter insertion	—

Measure

Time frame

Number of attempts required for successful cannulationTimepoint: During the cannulation procedure;Time taken for guidewire insertion (from needle puncture to guidewire visualization in IJV)Timepoint: Measured during the procedure;Incidence of cannulation-related complications (hematoma, carotid artery puncture, posterior wall puncture of IJV)Timepoint: Within 30 minutes post-procedure;Vertical and horizontal diameter of IJVTimepoint: During pre-procedural ultrasound scan;Relation and position of carotid artery (CA) to IJVTimepoint: During pre-procedural ultrasound scan;Degree of overlapping of IJV with CATimepoint: During pre-procedural ultrasound scan;Successful complete insertion of the entire cannula lengthTimepoint: Immediately after catheter insertion

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Countries

India

Contacts

Public ContactDr. Kalla Krishna Prasad Gourav

Postgraduate Institute of Medical Education & Research,Chandigarh

dr.kpgouravkalla@gmail.com8194952345

Outcome results

None listed

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