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An Infraclavicular Landmark-based Approach to the Axillary Vein

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ClinicalTrials.gov Identifier: NCT02083458
Recruitment Status : Completed
First Posted : March 11, 2014
Last Update Posted : June 14, 2016
Sponsor:
Information provided by (Responsible Party):
Ryszard Gawda, MD, Uniwersytecki Szpital Kliniczny w Opolu

Brief Summary:

The central line placement is the widespread procedure performed in the intensive care and emergency medicine. Indications for this procedure are chiefly lack of peripheral catheters, administration some medications, renal replacement therapy, parenteral nutrition and hemodynamic monitoring.

The procedure is performed by percutaneous puncture of large vein of the neck and the thorax - internal jugular vein or subclavian vein, then insertion of guidewire through the needle and placement of the catheter over the guidewire. The tip of the catheter is situated in the superior vena cava.

There are two techniques of catheterizations: landmark-based and ultrasound-guided. The most frequently cannulated veins in landmark-based approach are internal jugular and subclavian vein. The cannulation of the axillary vein is not common procedure in the intensive care unit, mainly due its complicated original technique.

The primary intention of this study was to describe and assess usefulness and safety of the new landmark-based technique of catheterization of the axillary vein in patients admitted to the intensive care unit.


Condition or disease Intervention/treatment Phase
Critical Illness Procedure: Catheterization of the axillary vein. Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 153 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: A New Infraclavicular Landmark-based Approach to the Axillary Vein as an Alternative Method of Central Venous Cannulation
Study Start Date : February 2010
Actual Primary Completion Date : December 2012
Actual Study Completion Date : February 2014

Arm Intervention/treatment
Experimental: axillary vein catheterization
Catheterization of the axillary vein based on anatomical landmark.
Procedure: Catheterization of the axillary vein.



Primary Outcome Measures :
  1. Rate of successful catheterizations. [ Time Frame: 24 hours ]
  2. Procedure success rate depending on physician experience. [ Time Frame: 24 hours ]

Secondary Outcome Measures :
  1. Rate of early complications. [ Time Frame: 24 hours ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • patients admitted to the intensive care unit with indications for central venous catheterization

Exclusion Criteria:

  • chest wall deformities at the cannulations side
  • major hemostasis disorders
  • infections at the catheterization site
  • age less than 18 years
  • lack of patients consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02083458


Locations
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Poland
Department of Anesthesiology and Intensive Care, Publiczny Samodzielny Zaklad Opieki Zdrowotnej Wojewodzkie Centrum Medyczne
Opole, Poland, 45-418
Sponsors and Collaborators
Uniwersytecki Szpital Kliniczny w Opolu
Investigators
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Principal Investigator: Ryszard Gawda, MD Department of Anesthesiology and Intensive Care, Publiczny Samodzielny Zaklad Opieki Zdrowotnej Wojewodzkie Centrum Medyczne w Opolu
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Responsible Party: Ryszard Gawda, MD, Senior anesthesiologist, Uniwersytecki Szpital Kliniczny w Opolu
ClinicalTrials.gov Identifier: NCT02083458    
Other Study ID Numbers: Axillary vein - WCM
First Posted: March 11, 2014    Key Record Dates
Last Update Posted: June 14, 2016
Last Verified: June 2016
Keywords provided by Ryszard Gawda, MD, Uniwersytecki Szpital Kliniczny w Opolu:
critical care
catheterization
axillary vein
Additional relevant MeSH terms:
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Critical Illness
Disease Attributes
Pathologic Processes