Ultrasound Guidance vs. Landmark Technique for Catheter Malposition in IJV Catheterization
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Conditions studied: Catheter Malposition, Central Venous Catheterization
In brief
Central venous catheterization (CVC) via the internal jugular vein (IJV) is a fundamental procedure in anesthesia and intensive care for hemodynamic monitoring, fluid resuscitation, and vasoactive drug administration. While modern clinical guidelines strongly advocate for ultrasound (USG) guidance, the traditional anatomical landmark technique remains widely utilized due to equipment availability or clinician habits. Proper positioning of the catheter tip is critical to prevent severe long-term complications; however, comparative data regarding catheter tip malposition between these two routine techniques-especially when confirmed by postprocedural bedside chest X-ray-require further prospective evaluation. Objective: The primary objective of this prospective observational study is to compare ultrasound-guided versus landmark techniques for internal jugular vein catheterization with respect to catheter tip malposition, as determined by postprocedural bedside chest X-ray. Secondary objectives include the evaluation of the number of needle redirections, first-attempt success rate, total procedure time, and the incidence of mechanical complications (such as accidental arterial puncture or hematoma formation)
Key facts
- Study ID
- NCT07701720
- Run by
- Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
- People needed
- 204
- Starts
- 2026-07-15
- Expected to finish
- 2026-10-15
- Last updated by the study team
- 2026-07-14
Who can join
Age: 18 and older, up to 75. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Patients aged 18-75 undergoing surgery requiring central venous (internal jugular) catheterization
You may not qualify if…
- Refusal to participate
- age <18 or >75
- emergency surgery
- coagulopathy
- infection, prior surgery, or prior cannulation at the insertion site
- allergy to ultrasound gel
Full record on ClinicalTrials.gov
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