Bilateral Internal Jugular Veins Ultrasound Scanning Prior to CVC Placement

Completed · Not applicable

Conditions studied: Central Venous Catheterization, Ultrasonography, Critical Care

In brief

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.

Key facts

Study ID

NCT02741453

Run by

Vanderbilt University Medical Center

People needed

278

Starts

2016-09-01

Expected to finish

2017-05-01

Last updated by the study team

2017-07-14

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patient admitted to the medical intensive care unit on the 8th floor
• Central venous catheter placed by a resident or nurse practitioner working in the medical intensive care unit
• Central venous catheter placed in the right or left internal jugular vein
• Central venous catheter placed with ultrasound guidance

You may not qualify if…

• Line placed outside the MICU
• Placed in the subclavian or femoral vein
• Placed by a fellow in training or attending physician
• Placed under emergent or time-sensitive conditions
• Placed during a code
• Placed under non-sterile conditions

Where it is running

• Vanderbilt University Medical Center — Nashville, Tennessee, United States

Full record on ClinicalTrials.gov

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