To Compare the In-plane and Out of Plane Ultrasound Guided Approach for Internal Jugular Vein Cannulation in the Patients Undergoing Elective Cardiac Surgery.
Condition: Catheterization, Central Venous; Ultrasonography; Cardiac Surgical Procedures
Study type: Interventional

Summary: 
      The insertion of central venous catheters (CVCs) has become an integral part of management of
      a critically ill patient. Access to the central vein may be required for the administration
      of hyper osmotic or vasoactive compounds, parenteral nutrition, and rapid infusion of large
      volumes of fluid or for the continuous or intermittent monitoring of biochemical or
      physiological parameters. Central venous catheter insertion is also indicated when the
      insertion of a peripheral line is not possible. Traditionally, CVC insertions have been
      performed using the landmark technique.

      Considering the number of CVCs being inserted every day, this can amount to a large number of
      complications. Efforts to minimize and prevent the occurrence of complications should be a
      routine component of quality improvement programs. There is an increasing body of evidence
      supporting the use of ultrasound guidance for CVC placement.

      This makes the strong rationale to conduct this research thus the aim of this study is to
      evaluate the real benefits i.e outcome of Long versus Short Axis ultrasound guided approach
      for internal jugular vein cannulation in the patient for elective cardiac surgery as central
      venous cannulation (CVC).
    

Detailed description: 
      OBJECTIVE: To compare the in plane and out of plane ultrasound guided approach for internal
      jugular vein cannulation in the patients undergoing elective cardiac surgery.

      Ultrasound-guided central vein cannulation has many advantages, giving the operator the
      possibility of choosing the most appropriate and safest venous access on the basis of
      ultrasound assessment, performing a 100% safe insertion, ruling out malposition or
      pleuropulmonary damages, during and after the procedure.

      There is an increasing body of evidence supporting the use of ultrasound guidance for CVC
      placement.

      This makes the strong rationale to conduct this research thus the aim of this study is to
      evaluate the real benefits i.e outcome of Long versus Short Axis ultrasound guided approach
      for internal jugular vein cannulation in the patient for elective cardiac surgery as central
      venous cannulation (CVC).
    

Intervention name(s): In-plane Axis; Out of plane Axis
Intervention type(s): Procedure; Procedure
Intervention description(s): In a long-axis view, the image plane is parallel to the course of the vessel (needle is "in-plane"). The image shows the course of the vessel across the screen and the shaft and point of the needle as it is advanced. The central venous cannulation was done in in-plane axis.; In a short-axis view, the image plane is perpendicular to the course of the vessel and to the needle (needle is "out of plane"). The vessel appears as an anechoic circle on the screen of ultrasound with the needle visualized as a hyperechoic point in cross-section. The central venous cannulation was done in out of plane axis.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Health Services Research