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The INVADE Study: INnominate Vein Approach for Central Catheterization in Difficult to cannulatE Patients
Sponsor: Hospital Civil de Guadalajara
Summary
Most recent guidelines suggest central venous access must be performed with real-time ultrasound guidance, and the most recommended site for cannulation is internal jugular vein (IJV); however, it is recognized that evidence for other sites is, at present, limited. Besides, guidelines does not account for patients with small vein cross-sectional area and/or respirophasic collapse, which can make the procedure more difficult or even impossible. The investigators aim to compare three different insertion sites for central venous access, with real-time ultrasound guidance
Official title: Central Venous Access in Patients With Difficult Cannulation, A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
315
Start Date
2024-02-27
Completion Date
2027-02-28
Last Updated
2026-03-12
Healthy Volunteers
No
Conditions
Interventions
Internal jugular vein catheterization
Catheterization of internal jugular vein with real-time (in-plane) method, with neutral neck position. Standard aseptic technique.
Subclavian vein catheterization
Catheterization of subclavian/axillary vein with infra-clavicular approach with real-time (in-plane) method, without shoulder retraction. Standard aseptic technique.
Innominate vein catheterization
Catheterization of innominate vein with supra-clavicular approach with real-time (in-plane) method, with neutral shoulder position and no shoulder retraction. Standard aseptic technique.
Locations (1)
Hospital Civil Fray Antonio Alcalde
Guadalajara, Mexico