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CTRI Number  CTRI/2025/07/090582 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 08/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   Comparison of ultrasound guided vein cannulation in paediatric patients undergoing neurosurgery- A Pilot Study 
Scientific Title of Study   Comparison of ultrasound guided Brachiocephalic and Internal jugular vein cannulation in paediatric patients undergoing neurosurgery - A pilot study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Bhishm Barthwal  
Designation  Assistant professor  
Affiliation  Army Hospital (R&R) 
Address  Department of Anaesthesiology and Critical Care, Army Hospital Research and Referral

South West
DELHI
110010
India 
Phone  7300703246  
Fax    
Email  bhishm09642w@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Bhishm Barthwal  
Designation  Assistant Professor  
Affiliation  Army Hospital (R&R) 
Address  Department of Anaesthesiology and Critical Care, Army Hospital Research and Referral

South West
DELHI
110010
India 
Phone  7300703246  
Fax    
Email  bhishm09642w@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhishm Barthwal  
Designation  Assistant Professor  
Affiliation  Army Hospital (R&R) 
Address  Department of Anaesthesiology and Critical Care, Army Hospital Research and Referral

South West
DELHI
110010
India 
Phone  7300703246  
Fax    
Email  bhishm09642w@gmail.com  
 
Source of Monetary or Material Support  
Army Hospital Research and Referral, Delhi Cantt-110010 (Delhi) -India  
 
Primary Sponsor  
Name  Army Hospital Research and Referral  
Address  Army Hospital Research and Referral, Delhi Cantt-110010 (Delhi)- India  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bhishm Barthwal  Army Hospital (Research and Referral)  Department of Anaesthesiology and Critical Care, second floor, Delhi Cantt, 110010 (Delhi)- India
South West
DELHI 
7300703246

bhishm09642w@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee, Army hospital research and referral, Delhi cantt   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C719||Malignant neoplasm of brain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ultrasound guided in plane supraclavicular left brachiocephalic vein cannulation.  To evaluate the success rate and time required for successful cannulation  
Comparator Agent  Ultrasound guided out of plane right Internal Jugular vein cannulation   To evaluate the success rate and time required for successful cannulation  
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Patients of both sexes, upto 12 years of age undergoing craniotomy, requiring central venous cannulation under general anaesthesia with controlled ventilation 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
a) To evaluate the success rate of ultrasound guided out of plane right IJV cannulation and in plane supraclavicular left brachiocephalic vein cannulation in paediatric patients undergoing neurosurgery
b) To compare the time required for successful cannulation between the two approaches  
Compare time required for successful cannulation between the two approach 
 
Secondary Outcome  
Outcome  TimePoints 
a) To assess the number of attempts required for successful cannulation
b) To compare the complication rates associated with each technique  
Compare the time required for cannulation between two approaches  
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   01/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [bhishm09642w@gmail.com].

  6. For how long will this data be available start date provided 03-06-2027 and end date provided 03-06-2032?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Central venous cannulation is an essential procedure in critically ill patients and for major surgeries for better hemodynamic monitoring and management. Ultrasound guided brachiocephalic vein cannulation in paediatric age group has become recently due to high success rate with less life- threatening complications. This is a prospective, randomized pilot study comparing ultrasound-guided in-plane  supraclavicular left brachiocephalic vein cannulation with out-of-plane right internal jugular vein cannulation in paediatric patients undergoing neurosurgery. The primary aim is to compare first- attempt success rates and cannulation times. Secondary objectives include evaluating the number of attempts and complications. A total of 64 children will be enrolled ( 32 per group) at army hospital research and referral, Delhi cantt. Patients will be randomized post- induction of anaesthesia, and cannulation will be performed under ultrasound guidance using the modified seldinger technique. Outcomes will be recorded by an independent observer. The study will adhere to ethical guidelines with informed consent and assent as applicable.  
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