Bilateral Internal Jugular Veins Ultrasound Scanning Prior to CVC Placement
NCT02741453 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 278
Last updated 2017-07-14
Summary
Central venous catheter placement is a common procedure in the intensive care unit and is a required skill for all residents working in the critical care setting. Central venous catheters (CVC) are placed for a variety of reasons including administration of caustic medications, administration of fluids or blood products for rapid resuscitation, access for hemodynamic monitoring or transvenous pacing, temporary vascular access for dialysis, or inability to obtain peripheral IV access. CVC's are routinely placed in the internal jugular vein in the Vanderbilt medical ICU and ultrasound guidance is used. Placement of the CVC on the right IJ instead of the left IJ is commonly preferred due to the more direct path to the superior vena cava. However, placement in the left IJ may be necessary for a variety of reasons. The investigators intend to compare the standard practice of residents and nurse practitioners placing IJ CVCs in the medical ICU against mandatory screening of the right and left IJ prior to selection of the CVC placement site. The investigators will accomplish this by assessing the relative first pass stick and overall success rates, the rate of aborted procedures, and the rate of complications between standard practice and mandatory screening of bilateral internal jugular veins prior to CVC site selection.
Conditions
- Central Venous Catheterization
- Ultrasonography
- Critical Care
Interventions
- PROCEDURE
-
Standard Practice
- PROCEDURE
-
Bilateral IJ Ultrasound Scanning
Sponsors & Collaborators
-
Vanderbilt University Medical Center
lead OTHER
Principal Investigators
-
Ryan Story, MD · Vanderbilt University Medical Center
-
Todd Rice, MD · Vanderbilt University Medical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-09-01
- Primary Completion
- 2017-05-01
- Completion
- 2017-05-01
Countries
- United States
Study Locations
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