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Influence of the Shoulder Position on the Catheter Tip Location During Infraclavicular Subclavian Approach

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ClinicalTrials.gov Identifier: NCT01024881
Recruitment Status : Completed
First Posted : December 3, 2009
Last Update Posted : December 3, 2009
Sponsor:
Information provided by:
Seoul National University Hospital

Brief Summary:
Infraclavicular approach of the subclavian veins is commonly used for central venous access. Aberrant locations of catheter tip are frequently quoted for this approach, but few studies have been performed to document the relationship between the shoulder position and catheter tip location. This prospective study was performed to assess the influence of the shoulder position on the safe and proper placement of infraclavicular subclavian catheters.

Condition or disease Intervention/treatment Phase
Catheter Tip Location Procedure: neutral shoulder position Procedure: lowered shoulder position Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 344 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Study Start Date : December 2008
Actual Primary Completion Date : August 2009
Actual Study Completion Date : August 2009

Arm Intervention/treatment
Active Comparator: group 1
neutral shoulder position during infraclavicular subclavian catheterization
Procedure: neutral shoulder position
neutral shoulder position during infraclavicular subclavian catheterization
Experimental: group 2
lowered shoulder position during infraclavicular subclavian catheterization
Procedure: lowered shoulder position
lowered shoulder position during infraclavicular subclavian catheterization



Primary Outcome Measures :
  1. location of the catheter tip [ Time Frame: at the end of surgery ]

Secondary Outcome Measures :
  1. catheterization success rate [ Time Frame: immediately after catheterization ]


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Ages Eligible for Study:   19 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • adult patients requiring central venous catheterization due to major procedures such as neurosurgery or thoracic surgery.

Exclusion Criteria:

  • chest deformities,
  • coagulopathy,
  • diaphragmatic dysfunction,
  • pulmonary malformation,
  • history of prior clavicle fracture, or
  • infection over the puncture site.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01024881


Locations
Korea, Republic of
Seoul National University Hospital
Seoul, Korea, Republic of, 110-744
Sponsors and Collaborators
Seoul National University Hospital

Responsible Party: Jae-Hyon Bahk, Seoul National University Hospital
ClinicalTrials.gov Identifier: NCT01024881     History of Changes
Other Study ID Numbers: JHBahk_CVC shoulder position
First Posted: December 3, 2009    Key Record Dates
Last Update Posted: December 3, 2009
Last Verified: December 2009

Keywords provided by Seoul National University Hospital:
catheterization success rate