Success of Internal Jugular Vein Catheterization

Study Overview
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Brief Summary
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Internal jugular vein cannulation can be performed with the blind technique under ultrasound (USG) guidance or using classical marker points. It has been shown that USG-guided interventions reduce the complication rate compared to the method performed with the blind technique (4%/13.5%). In addition, the initial entry success rate in the USG supported group is 65%. , this rate remained at 45% with the blind technique. Although Pleth variability index monitoring is a noninvasive method, it is a technique that consistently predicts fluid sensitivity in patients under mechanical ventilation. The aim of study is before applying USG guided catheterization; We think that by revealing the factors of the patient that are effective on the number of interventions, necessary measures can be taken for the success of catheterization as a result.

Official Title
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Factors Affecting Success of First Attempt in Ultrasonography-Guided Internal Jugular Vein Catheterization

Conditions
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Ultrasound, Catheterization, Volume Status

Intervention / Treatment
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* Procedure: Internal Jugular Vein Catheterization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 18-75 underwent coronary artery bypass surgery Exclusion Criteria: <18 years old Hemodynamic instability Use of inotropic agents

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: single attempt catheterization<br>successful catheterization with a single attempt number | Procedure: Internal Jugular Vein Catheterization<br>* Inserting a cannula into the internal jugular vein<br>|
| Active Comparator: multiple attempts catheterization<br>successful catheterization after multiple attempts | Procedure: Internal Jugular Vein Catheterization<br>* Inserting a cannula into the internal jugular vein<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| factors of internal vein jugular catheterization success | neck circumference, | Baseline (Before catheterization) | 
| factors of internal vein jugular catheterization success | internal juguler vein depth | Baseline (Before catheterization) | 
| factors of internal vein jugular catheterization success | internal vein diameter | Baseline (Before catheterization) | 
| factors of internal vein jugular catheterization success | pleth variability index | Baseline (Before catheterization) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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juguler vein catheterization, ultrasound guidance, pleth variability index