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CTRI Number  CTRI/2019/12/022349 [Registered on: 12/12/2019] Trial Registered Prospectively
Last Modified On: 07/12/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   comparison of two ultrasound guided central line insertion techniques  
Scientific Title of Study   Comparison of conventional technique and pen holding technique for real time ultrasound guided internal jugular venous cannulation – A prospective randomized controlled trail  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SRINIVASAN R 
Designation  ASST PROFESSOR  
Affiliation  SRI MANAKULA VINAYAGAR MEDICAL COLLEGE HOSPITAL 
Address  SECOND FLOOR DEPARTMENT OF ANESTHESIOLOGY SRI MANAKULA VINAYAGAR MEDICAL COLLEGE KALITHEERTHALKUPAM

Pondicherry
PONDICHERRY
605107
India 
Phone  9940394386  
Fax    
Email  drsrini16@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  SRINIVASAN R 
Designation  ASST PROFESSOR  
Affiliation  SRI MANAKULA VINAYAGAR MEDICAL COLLEGE HOSPITAL 
Address  SECOND FLOOR DEPARTMENT OF ANESTHESIOLOGY SRI MANAKULA VINAYAGAR MEDICAL COLLEGE KALITHEERTHALKUPAM

Pondicherry
PONDICHERRY
605107
India 
Phone  9940394386  
Fax    
Email  drsrini16@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SRINIVASAN R 
Designation  ASST PROFESSOR  
Affiliation  SRI MANAKULA VINAYAGAR MEDICAL COLLEGE HOSPITAL 
Address  SECOND FLOOR DEPARTMENT OF ANESTHESIOLOGY SRI MANAKULA VINAYAGAR MEDICAL COLLEGE KALITHEERTHALKUPAM

Pondicherry
PONDICHERRY
605107
India 
Phone  9940394386  
Fax    
Email  drsrini16@gmail.com  
 
Source of Monetary or Material Support  
INSTITUTE RESEARCH FUND SMVMCH KALITHEERTHALKUPPAM MADAGADIPET PONDICHERRY  
 
Primary Sponsor  
Name  SMVMCH RESEARCH FUND  
Address  SMVMCH KALITHEERTHALKUPPAM MADAGADIPET PONDICHERRY  
Type of Sponsor  Private medical college 
 
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 
SRINIVASAN   SRI MANAKULA VINAYAGAR MEDICAL COLLEGE HOSPITAL HOSPITAL   SECOND FLOOR CLINICAL DEPARTMENT HOSPITAL BLOCK SRI MANAKULA VINAYAGAR MEDICAL HOSPITAL Kalitheerthalkuppam, Madagadipet, Puducherry, 605107
Pondicherry
PONDICHERRY 
9940394386

drsrini16@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMVMCH ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I00-I99||Diseases of the circulatory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  conventional ultrasound guided internal jugular venous cannulation technique   group will be cannulated by convention real time ultrasound guided technique.  
Comparator Agent  pen holding method of ultrasound guided internal jugular venous cannulation technique  group will be cannulated by pen holding method of real time ultrasound guided technique 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  a) Adult patients of either gender between 18 and 70 years of age
b) Belonging to the American Society of Anesthesiologists Physical Status I–III
c) Undergoing general anesthesia and requiring USG guided IJV cannulation
 
 
ExclusionCriteria 
Details  a) Patients with untreated coagulopathy, known vascular abnormalities,
b) Skeletal abnormalities (e.g., cervical spine disorders),
c) Previous surgery over neck area, existing thyroid or neck swelling, localized neck infection
d) Any history of neck surgery
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Occurrence of posterior vessel wall puncture and the successful IJV cannulation in first attempt  Time taken for successful cannulation  
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of complication such as arterial puncture, andperformer’s ease of the procedurein both the techniques  during the procedure  
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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   N/A 
Date of First Enrollment (India)   15/12/2019 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
ultrasound guided central venous cannulation is the standard of care. the incidence of posterior vessel wall puncture in convention ultrasound guided technique is 21% and arterial puncture is 5%. the incidence of posterior vessel wall puncture is reported to be less in penholding method, hence the chance of arterial puncture. the study is designed to compare these two techniques.  

Patients will be divided into 2 groups,  group C (conventional ultrasound guided technique group) and group P (penholding method group).  Inside operation room, after induction of anesthesia ultrasound guided internal jugular venous  cannulation will be done using one of these techniques. Incidence of posterior vessel wall puncture, successful cannulation in first attempt, and time taken for successful cannulation will be done by an independent observer not involved in the study. Also complications in both the groups and performers ease will be assessed.  
 
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