CVC, Ultrasound Guided Central Venous Cannulation
Conditions
Brief summary
Central venous catheterization, specifically through the axillary vein, is a procedure of critical importance in various clinical contexts. Site selection is dependent on clinical assessment, experience and the physician preference. This study aims to evaluate the potential advantages of using the hockey stick ultrasonography probe for axillary vein cannulation and determine whether this probe enhances axillary vein imaging, accelerates the central vein cannulation procedure and reduces the rate of complications compared to the linear probe. Methods: 100 participants were recruited and allocated into two groups: the linear probe group and the hockey stick probe group. All procedures were performed by two senior anesthesia and intensive care residents, each with experience of over 100 central vascular access procedures. Follow-up chest X-rays were taken two hours post-procedure to verify the correct position of the catheter and to rule out complications such as pneumothorax, hemothorax, cardiac tamponade, and incorrect line placement.
Interventions
PROCEDUREAxillary Vein Cannulation
This study aims to evaluate the potential advantages of using the hockey stick ultrasonography probe for axillary vein cannulation and determine whether this probe enhances axillary vein imaging, accelerates the central vein cannulation procedure and reduces the rate of complications compared to the linear probe
Sponsors
Medical University of Warsaw
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age above 18 years old * scheduled for elective central venous catheter in the axillary vein
Exclusion criteria
* medical contraindication for axillary vein cannulation (coagulation abnormalities, local skin infection or chest wall deformation) * patient consent decline
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success on first attempt | 24 hours | An attempt is defined by every needle direction change. Whenever vein puncture was not achieved by a simple, straight movement without any change of direction in any plane this cannulation was not counted as success at first attempt |
| Number attempts | 24 hours | An attempt is defined by every needle direction change. Whenever vein puncture was not achieved by a simple, straight movement without any change of direction in any plane this cannulation was not counted as success at first attempt |
| Procedure Time | 24 hours | The procedure time measurement stops when skin dressing is applied. Time measurement was done by an independent observer. |
| Cumulative number of complications | 24 hours | Complications early and late were recorded either with ultrasonography immedi-ately after the procedure or in the chest X-ray 2 hours after. |
Countries
Poland
Outcome results
None listed