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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-A01353-38 | Other Identifier | ANSM |
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The main objective of this study is to compare the rate of successful establishment of a central venous catheter in the first two attempts of ultrasound-guided puncture between two techniques: (1) a subclavian technique versus (2) an axillary technique.
The secondary objectives of this study are to compare the following between the two techniques:
The reasons catheter placement failures will also be described.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Axillary strategy | Active Comparator | The first two attempts at central venous catheterization will be performed via the distal approach (axillary vein). The third and fourth attempts at central venous catheterization will be performed by the medial approach (subclavian vein). |
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| Subclavian strategy | Active Comparator | The first two attempts at central venous catheterization will be performed by the medial approach (subclavian vein). The third and fourth attempts at central venous catheterization will be performed by the distal approach (axillary vein). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Axillary strategy | Procedure | The first two attempts at central venous catheterization will be performed via the distal approach (axillary vein). The third and fourth attempts at central venous catheterization will be performed by the medial approach (subclavian vein). The same puncture material/devices will be used in both arms of the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Central venous catheter established within first 2 puncture attempts | yes/no | approximately 3 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Central venous catheter established upon first punction attempt | yes/no | approximately 3 minutes |
| Establishment of a central venous catheter | yes/no |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean Yves Lefrant, MD PhD | Centre Hospitalier Universitaire de NÄ«mes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | Gard | 30029 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26787790 | Result | Buzancais G, Roger C, Bastide S, Jeannes P, Lefrant JY, Muller L. Comparison of two ultrasound guided approaches for axillary vein catheterization: a randomized controlled non-inferiority trial. Br J Anaesth. 2016 Feb;116(2):215-22. doi: 10.1093/bja/aev458. |
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| Subclavian strategy | Procedure | The first two attempts at central venous catheterization will be performed by the medial approach (subclavian vein). The third and fourth attempts at central venous catheterization will be performed by the distal approach (axillary vein). The same puncture material/devices will be used in both arms of the study. |
|
| approximately 3 minutes |
| The time necessary for the establishment of a central venous catheter | For non-failures (ie establishment of a central venous catheter within 4 puncture attempts), the number of minutes necessary for the establishment of a central venous catheter | approximately 3 minutes |
| The time necessary for the establishment of a central venous catheter | all cases, in minutes | approximately 3 minutes |
| presence/absence of complications | arterial puncture (yes / no), pneumothorax (yes / no), hemothorax (yes / no), hematoma (yes / no), nerve injury (yes / no), aberrant course (yes / no) | Day 1 |