Right Versus Left Distal Axillary Vein Cannulation
Recruiting now · Not applicable
Conditions studied: Infraclavicular Vein Cannulation, Venous Cannulation
In brief
Central venous cannulation is an essential procedure in the anaesthetic and critical care practice. Ultrasound has revolutionized the practice favoring the internal jugular cannulation to the other sites .Subcalvian vein cannulation has fallen out of favor mainly due to the difficult visualization with the ultrasound, especially in obese patients and the inevitable position of the clavicle acting as a bony obstacle , in addition to the anatomical position in vicinity to the pleura which might raise the risk of pneumothorax . Indeed the subclavian vein cannulation is more comfortable and tolerated by the patient especially those requiring long term intravenous therapy, with less rates of infection and thrombosis. This mandated the development of a safer and efficient technique for the cannulation empowered by the ultrasound technology. The infracalvicular approach or the proximal axillary vein cannulation has been described but is not popular. It provides a potentially safer and successful technique with less complication both in "experienced" and "less experienced"operators . All the patients will receive general anaesthesia with laryngeal mask insertion . Careful sterilization of the surgical site and strict aseptic techniques for the handling of the ultrasound probe will be pursued
Key facts
- Study ID
- NCT06761326
- Run by
- Alexandria University
- People needed
- 80
- Starts
- 2024-10-21
- Expected to finish
- 2026-08-01
- Last updated by the study team
- 2026-06-17
Who can join
Age: 20 and older, up to 70. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- .Patients requiring porta Cath insertion.
You may not qualify if…
- Abnormalities in the platelet count or coagulation
- Thrombosis of the target vein
- Soft tissue infection of the overlying area
- Fracture of the clavicle or proximal ribs
- Patients with pacemakers or defibrillators
- Malignant superior vena cava syndrome
- Gross obesity
- History of prior catheterization of the subclavian vein
- Patient refusal to participate in the study.
Where it is running
- Medical Research Institute — Alexandria, Alexandria Governorate, Egypt (enrolling)
Full record on ClinicalTrials.gov
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