Insertion Angle and Needle Visualization During Ultrasound Guided Internal Jugular Vein Cannulation

Study Overview
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Brief Summary
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Ultrasound guidance has been established as an effective and safe method during insertion of internal jugular vein catheter.. Needle visualization during advancement toward the vein has a great impact on both safety and success of the procedure. Clinicians have adopted variable techniques to increase needle visualization including changing needle- probe relation (in-plane vs. out-of-plane), or using specific ultrasound needles The angle between the inserting needle and the probe lying on patient skin affects both the distance to the vein and the length of the needle part travelling through the us beam

Conditions
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Internal Jugular Vein Cannulation

Intervention / Treatment
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* Device: needle PLT-805AT
* Device: Ultrasound


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all patients requiring central line insertion Exclusion Criteria: refusal coagulopathy neck surgeries

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: angle 30 group<br>During central line insertion, After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 30-40 degree. | Device: needle PLT-805AT<br>* comparing success rate and complications using different needle to US probe angles.<br>* Other names: PLT-805AT, 8 MHz, Toshiba Tokyo, Japan;Device: Ultrasound<br>* Xario, Toshiba Tokyo Japan<br>|
| Active Comparator: angle 50 group<br>During central line insertion,After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 50-60 degree | Device: needle PLT-805AT<br>* comparing success rate and complications using different needle to US probe angles.<br>* Other names: PLT-805AT, 8 MHz, Toshiba Tokyo, Japan;Device: Ultrasound<br>* Xario, Toshiba Tokyo Japan<br>|
| Active Comparator: angle 70 group<br>During central line insertion,After choosing the proper position, the skin was infiltrated with %1 lidocaine. The vein will be localized using linear ultrasound probe (PLT-805AT, 8 MHz, Toshiba Tokyo, Japan) attached to ultrasound machine (Xario, Toshiba Tokyo Japan). The needle will be advanced guided by the ultrasound probe with needle skin angle 60-80 degree | Device: needle PLT-805AT<br>* comparing success rate and complications using different needle to US probe angles.<br>* Other names: PLT-805AT, 8 MHz, Toshiba Tokyo, Japan;Device: Ultrasound<br>* Xario, Toshiba Tokyo Japan<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| success rate |  | 24 hours starting from central line insertion |