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CTRI Number  CTRI/2022/09/046019 [Registered on: 29/09/2022] Trial Registered Prospectively
Last Modified On: 24/03/2026
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   A clinical trial to study the effects of new technique of ultrasound-guided central venous access in adult surgical patents. 
Scientific Title of Study   Dynamic needle tip positioning versus short axis technique for ultrasound-guided internal jugular venous cannulation in adult surgical patients: a randomized controlled trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NA  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR NIRAJ KUMAR 
Designation  ADDITIONAL PROFESSOR 
Affiliation  AIIMS, NEW DELHI 
Address  Room no – 709 7th floor Deptt of Neuroanesthesiology Critical Care Neuroscience center AIIMS Delhi-110029

New Delhi
DELHI
110029
India 
Phone  9013770806  
Fax    
Email  drnirajaiims@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR NIRAJ KUMAR 
Designation  ADDITIONAL PROFESSOR 
Affiliation  AIIMS, NEW DELHI 
Address  Room no – 709 7th floor Deptt of Neuroanesthesiology Critical Care Neuroscience center AIIMS Delhi-110029

New Delhi
DELHI
110029
India 
Phone  9013770806  
Fax    
Email  drnirajaiims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR NIRAJ KUMAR 
Designation  ADDITIONAL PROFESSOR 
Affiliation  AIIMS, NEW DELHI 
Address  Room no – 709 7th floor Deptt of Neuroanesthesiology Critical Care Neuroscience center AIIMS Delhi-110029

New Delhi
DELHI
110029
India 
Phone  9013770806  
Fax    
Email  drnirajaiims@gmail.com  
 
Source of Monetary or Material Support  
AIIMS, NEW DELHI 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [Nil] 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR NIRAJ KUMAR  AIIMS, NEW DELHI  Room no – 709, 7th floor, Deptt of Neuroanesthesia and Critical Care Neurocenter AIIMS Delhi 110029
New Delhi
DELHI 
9013770806

drnirajaiims@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee, AIIMS, New Delhi   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D496||Neoplasm of unspecified behavior of brain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dynamic needle tip positioning (DNTP) technique of IJV cannulation  ultrasound-guided Dynamic needle tip positioning (DNTP) technique of IJV cannulation in adult ssurgical patients 
Comparator Agent  short-axis technique of IJV cannulation  ultrasound- guided short-axis technique of IJV cannulation in adult surgical patients  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Adult patients (18 to 60 years old) with ASA classification I and II, undergoing general anaesthesia for elective neurosurgical procedure that require IJV catheterization will be included in this study 
 
ExclusionCriteria 
Details  Patient will be excluded if they are Less than 18 or more than 60 years old, Hemodynamically unstable or shock (SBP less than 60 OR on vasoactive drugs), Having infection, inflammation, trauma and hematoma at the cannulation site, Having significant coagulopathy, Morbid obesity (BMI more than 40)
 
 
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 
First attempt success rate   At the point of successful US-guided IJV cannulation 
 
Secondary Outcome  
Outcome  TimePoints 
• Overall success rate
• No. of attempts
• No. of redirection
• Cannulation time
• Procedural time
• Incidence of complications (carotid artery puncture, PWVP, hematoma, pneumothorax haemothorax).
 
At the point of successful US-guided IJV cannulation 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
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)   01/10/2022 
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)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Nil 
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

  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 [drnirajaiims@gmail.com].

  6. For how long will this data be available start date provided 01-01-2025 and end date provided 01-01-2030?
    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  

This study is a randomized, double blind, parallel group, single-centre trial comparing the first attempt success rate between dynamic needle tip positioning (DNTP) versus short axis (SA) of ultrasound -guide IJV cannulation in adult surgical patients, that will be conducted in one center (AIIMS, New Delhi) in India. The primary outcome measures will be first attempt success rate. The secondary outcomes will be overall success rate, no. of attempts, no. of redirection, cannulation time, procedural time, incidence of complications (carotid artery puncture, PWVP, hematoma, pneumothorax and haemothorax) during ultrasound -guide IJV cannulation.

 
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