Ultrasound Guidance vs. Landmark Technique for Catheter Malposition in IJV Catheterization
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Ultrasound-Guided Technique, Landmark Technique.
- Who it may be relevant to
- Registry conditions: Catheter Malposition, Central Venous Catheterization. Basic parameters: 18 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Ultrasound Guidance Versus Landmark Technique on Catheter Malposition in Internal Jugular Vein Catheterization
Overview
Central venous catheterization (CVC) via the internal jugular vein (IJV) is a fundamental procedure in anesthesia and intensive care for hemodynamic monitoring, fluid resuscitation, and vasoactive drug administration. While modern clinical guidelines strongly advocate for ultrasound (USG) guidance, the traditional anatomical landmark technique remains widely utilized due to equipment availability or clinician habits. Proper positioning of the catheter tip is critical to prevent severe long-term complications; however, comparative data regarding catheter tip malposition between these two routine techniques-especially when confirmed by postprocedural bedside chest X-ray-require further prospective evaluation. Objective: The primary objective of this prospective observational study is to compare ultrasound-guided versus landmark techniques for internal jugular vein catheterization with respect to catheter tip malposition, as determined by postprocedural bedside chest X-ray. Secondary objectives include the evaluation of the number of needle redirections, first-attempt success rate, total procedure time, and the incidence of mechanical complications (such as accidental arterial puncture or hematoma formation)
Interventions
- Procedure Ultrasound-Guided Technique
Internal jugular vein catheterization performed with real-time ultrasound visualization of the vein to guide needle insertion. - Procedure Landmark Technique
Internal jugular vein catheterization performed using external anatomical landmarks without real-time ultrasound guidance.
Primary outcome measures
- Incidence of catheter tip malposition [Time frame: Assessed on postoperative bedside chest X-ray, immediately following the procedure]
Secondary outcome measures (1)
- Incidence of Procedural Mechanical Complications [Time frame: During the procedure and up to 24 hours post-operatively.]
Eligibility criteria
Inclusion criteria
- Patients aged 18-75 undergoing surgery requiring central venous (internal jugular) catheterization
Exclusion criteria
- Refusal to participate
- age <18 or >75
- emergency surgery
- coagulopathy
- infection, prior surgery, or prior cannulation at the insertion site
- allergy to ultrasound gel
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Case-control
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- Riaz A, Shan Khan RA, Salim F. Ultrasound guided internal jugular venous cannulation: comparison with land-mark technique. J Coll Physicians Surg Pak. 2015 May;25(5):315-9. PMID 26008653
Identifiers
NCT: NCT07701720 · 321/2026