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Comparison of the Right and Left Internal Jugular Vein Using UltrasoundNCT01599299

Comparison of the Right and Left Internal Jugular Vein Using Ultrasound

An observational study of Comparison of the Right and Left Internal Jugular Vein Using Ultrasound, run by Catharina Ziekenhuis Eindhoven at 1 site in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine whether there is a difference between the diameter, and the cross-sectional area of the right internal in left internal jugular vein in preoperative, mechanically ventilated patients. Read more about this study

Who is it for?
Ages 18 years and older
How many people
100 participants
Where
1 siteNetherlands
Study dates
Mar 2012to Jul 2012
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: All patients who will need a central venous access (into the right jugular vein) preoperative are included

Who may be able to join

  • all patients who will need a central venous access preoperative are included (e.g. for medication, nutrition, antibiotics)and are mechanically ventilated

Who cannot join

  • < 18 years of age
  • neck or head surgery in the past
  • radiation therapy of the neck
  • known thyroid pathology
  • skeletal deformities.

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Catharina Hospital

    Eindhoven, North Brabant, 5623 EJ

Other trials in Netherlands

About this study

Official title: Comparison of the Diameter, Cross-sectional Area and Position of the Left and Right Internal Jugular Vein in Adults Using Ultrasound

The purpose of this study is to determine whether there is a difference between the diameter, and the cross-sectional area of the right internal in left internal jugular vein in preoperative, mechanically ventilated patients.

Secondary the relationship between the internal jugular vein to the common carotid artery will be examined.

Read the detailed description

Placement of a central venous catheter (CVC) for surgery is used for hemodynamic monitoring and venous access. Most often the right internal jugular vein (RIJV) is used. The RIJV is preferred over the left-sided internal jugular vein (LIJV) because cannulation of the LIJV is more difficult and associated with a higher complication rate(1). A possible explanation for the higher complication rate can be explained by the difference in diameter between the RIJV and the LIJV. It has been demonstrated that large vessels are easier to catheterize than small ones.

Data suggest that the internal jugular veins are most often asymmetric but data are limited. Until now, there is one small prospective study in which 80 ICU patients where examined (30 patients were mechanically ventilated) which showed an asymmetry in 62,5% and a dominant RIJV in 68% and a smaller study performed by Lobato and colleagues in which 50 healthy patients were examined. They measured the cross-sectional areas of the internal jugular veins. They showed that in 80% the RIJV was greater than the LIJV. Two CT studies has been done so far. In 2009 Tartière and colleagues carried out an observational study in 190 patients. All patients were in the supine position, neutral head position an spontaneous breathing. During the CT patients were asked to hold there breath. The study showed that the diameter and cross-sectional area of the RIJV were significantly greater than those of the LIJV. A smaller retrospective CT-study (88 patients) performed by Lim et al in 2006 showed a larger RIJV in 79,5% compared to the LIJV.

Until now, there are no data known about the difference between the RIJV and LIJV in preoperative mechanical ventilated patients when ultrasound is used.

Keywords
ultrasound, left and right jugular vein, comparison

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01599299
Study groupRoleWhat they receive
Ultrasound, internal jugular veinAll patients who will need a central venous access (into the right jugular vein) preoperative are included.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Comparison of the diameter, cross-sectional area and position of the left and right internal jugular vein in adults using ultrasound

    Comparison of the cross-sectional area and diameter of the left internal jugular vein and the right internal jugular vein

    Measured: Measurements are made after the patient is intubated and ventilated, prior to the surgical procedure starts.

Secondary outcomes (1)
  1. Comparison of the diameter, cross-sectional area and position of the left and right internal jugular vein in adults using ultrasound

    The localisation of the right/left internal jugular vein in relation to the carotid artery.

    Measured: Measurements are made after the patient is intubated and ventilated, prior to the surgical procedure starts.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 May 2012 (estimated)
  2. Study startMar 2012
  3. Primary completionJun 2012
  4. Study completionJul 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Cross-sectional
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01599299
Sponsor's protocol ID
1.2.2012
Status last verified
Mar 2014
First submitted
14 May 2012
Last updated
6 Mar 2014
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

An observational study of Comparison of the Right and Left Internal Jugular Vein Using Ultrasound, run by Catharina Ziekenhuis Eindhoven at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Comparison of the diameter, cross-sectional area and position of the left and right internal jugular vein in adults using ultrasound (time frame: Measurements are made after the patient is intubated and ventilated, prior to the surgical procedure starts.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Mar 2014.

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