Clinical trial NCT01607281: The Ability of Anesthesiologists Identifying Internal Jugular Vein Bilaterally by Anatomic Landmarks
Official title: The Ability of Anesthesiologists Identifying Internal Jugular Vein by Anatomic Landmark Technique
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Internal Jugular Vein Canulation
Anatomical Landmark
Keywords: anatomical landmark
internal jugular vein canulation
Lead sponsor: Diskapi Teaching and Research Hospital
Sponsor class: OTHER
First posted: 2012-05-30
Enrollment: 50
Sex: ALL
Minimum age (years): 22
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: the residents of anesthesiology clinics

Brief summary: The study is designed to determine anaesthetists ability to locate the right internal jugular vein(IJV) and left IJV using a landmark technique. Initially, a questionnaire was completed detecting previous user experience. An ultrasound probe, using the midpoint as an 'imaginary needle', was placed on the neck of a healthy volunteer and the image recorded. Both anaesthetist and volunteer were blinded to the screen until the image was stored. Anaesthetists were grouped into senior or junior by the total number of IJV canulation experience. The success rate is going to be measured as pass or fail.

Detailed description: Anesthesiologists are usually qualified in internal jugular vein canulation by using anatomic landmark technique. The anatomy of right IJV and left IJV may differ each other. The hypothesis is that the anatomical difference between right and left IJV may give rise to false puncture of especially left IJV by using anatomical landmark technique.Although USG is available, most of the experienced anesthesiologist does not prefer to use USG for IJV canulation due to different reasons.In addition to this anesthesiologists are generally preferring right IJV canulation, thus they are inexperienced in left IJV canulation. So especially during left IJV canulation,not by anatomical landmark technique but by USG will be recommended for anesthesiologists.

Eligibility criteria: Inclusion Criteria:

* The voluntary anesthesiologists who are studying in diskapi training and research hospital

Exclusion Criteria:

* The anesthesiologists who are not willing to participate, the anesthesiologists whom refused to fulfill the questionnaire form.

Primary outcomes:
measure: determine the difference between anesthesiologists ability to show left and right internal jugular vein by usg probe (pass/fail)
timeFrame: participants will be followed for the duration of operating room stay, an expected average of 15 minutes
Secondary outcomes:
measure: determine the difference between senior and junior anesthesiologists ability to show left and right internal jugular vein by usg probe (pass/fail).
timeFrame: participants will be followed for the duration of operating room stay, an expected average of 15 minutes
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Ministry of health diskapi yildirim beyazit training and research hospital
state: Altindag
Study officials:
References:
citation: Harber CR, Harvey DJ, Wiles MD, Bogod DG. The ability of anaesthetists to identify the position of the right internal jugular vein correctly using anatomical landmarks. Anaesthesia. 2010 Sep;65(9):885-8. doi: 10.1111/j.1365-2044.2010.06426.x.
citation: Sulek CA, Blas ML, Lobato EB. A randomized study of left versus right internal jugular vein cannulation in adults. J Clin Anesth. 2000 Mar;12(2):142-5. doi: 10.1016/s0952-8180(00)00129-x.
citation: Muralidhar K. Left internal versus right internal jugular vein access to central venous circulation using the Seldinger technique. J Cardiothorac Vasc Anesth. 1995 Feb;9(1):115-6. doi: 10.1016/s1053-0770(05)80084-9. No abstract available.