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Trial registered on ANZCTR
Registration number
ACTRN12616000392460
Ethics application status
Approved
Date submitted
14/10/2015
Date registered
24/03/2016
Date last updated
24/03/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of varying entry points and Trendelenburg positioning degrees in internal jugular vein area measurements of newborns weighing between 3000-3500 grams
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Scientific title
Effects of varying entry points and Trendelenburg positioning degrees in internal jugular vein area measurements of newborns weighing between 3000-3500 grams
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Secondary ID [1]
287622
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Internal jugular vein cannulation in neonates
296435
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Condition category
Condition code
Cardiovascular
296695
296695
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0
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Normal development and function of the cardiovascular system
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Anaesthesiology
296988
296988
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
We are planning to compare two cannulation sides for internal jugular vein in terms of antero-posterior and lateral diameters and area in 100 healthy neonates weighed between 3000-3500 grams. The first (superior) measurement point will be the apex of Sedillot's Triangle (Clavicula-Sternal and clavicular heads of the sternocloidomastoid muscle). The second (inferior) measurement point will be midpoint of supraclavicular notch. For each trendelenburg degree, six measurements (including the first and second measurement points) will be made in different head rotation degrees of zero (neutral position), 15 degrees and 30 degrees to the left side.
The measurements will be performed primarily in horizontal position and then in 15 degrees and 30 degrees Trendelenburg position with ultrasound by the same anesthesiologist. The data will be recorded as follows:
IJV area (N): Superior/ Inferior
IJV AP(antero-posterior) diameter (N): Superior/ Inferior
IJV laterar diameter (N): Superior/ Inferior
Carotis-IJV distance (N): Superior/ Inferior
N reffers to as head in neutral position
IJV area (15): Superior/ Inferior
IJV AP(antero-posterior) diameter (15): Superior/ Inferior
IJV laterar diameter (15): Superior/ Inferior
Carotis-IJV distance (15): Superior/ Inferior
15 reffers to as head in rotation 15 degrees to the left-side
IJV area (30): Superior/ Inferior
IJV AP(antero-posterior) diameter (30): Superior/ Inferior
IJV laterar diameter (30): Superior/ Inferior
Carotis-IJV distance (30): Superior/ Inferior
30 reffers to as head in rotation 30 degrees to the left-side
It will take 1 minute (max.) to get data from each point and 1 minute (max.) to give the appropriate planned position. At the end of one neonates observation, eighteen data will be collected. It will last about 20 minutes to get the results from each patient.The interventional study will last approximately 1 week.
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Intervention code [1]
293019
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Treatment: Other
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Comparator / control treatment
As standart care for internal jugular vein cannulation; we use ulrasound guided technique for each neonate, by inferior approach in 30 degrees Trendelenburg position and 30 degrees head rotation to the left.
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Control group
Active
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Outcomes
Primary outcome [1]
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By using ultrasound guided technique, we will determine which cannulation point, Trendelenburg degree and head rotation degree combination is optimum for widest vessel diameter localization in neonates.
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Assessment method [1]
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Timepoint [1]
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After completion of all eighteen measurements in all neonates and the statistical analysis of the data.
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Secondary outcome [1]
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None
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Assessment method [1]
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Timepoint [1]
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N/A
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Eligibility
Key inclusion criteria
Newborn infants between 3000-3500 grams of weight
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Minimum age
1
Days
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Maximum age
30
Days
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Weighed less than 3000 grams
Weighed more than 3500 grams
Mass or puffiness in the neck area
Need for mechanical ventlation
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
20/11/2015
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Date of last participant enrolment
Anticipated
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Actual
1/12/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
58
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Accrual to date
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Final
58
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Recruitment outside Australia
Country [1]
7217
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Turkey
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State/province [1]
7217
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Istanbul
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Pelin Karaaslan
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Address [1]
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Medipol Mega Hastaneler Kompleksi
Metin Sokak No:4
34214
Bagcilar/Istanbul
TURKEY
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Country [1]
292203
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Turkey
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Primary sponsor type
Individual
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Name
Pelin Karaaslan
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Address
Medipol Mega Hastaneler Kompleksi
Metin Sokak No:4
34214
Bagcilar/Istanbul
TURKEY
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Country
Turkey
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Secondary sponsor category [1]
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Individual
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Name [1]
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Kamil Darcin
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Address [1]
290879
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Medipol Mega Hastaneler Kompleksi
Metin Sokak No:4
34214
Bagcilar/Istanbul
TURKEY
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Country [1]
290879
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Turkey
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Istanbul Medipol University Ethics Committee of Clinical Trials
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Ethics committee address [1]
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Ataturk Bulvari, No:27 34083 Unkapani/Istanbul
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Ethics committee country [1]
293686
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Turkey
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Date submitted for ethics approval [1]
293686
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08/05/2015
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Approval date [1]
293686
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16/05/2015
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Ethics approval number [1]
293686
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10840098-14
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Summary
Brief summary
We are planning to compare two cannulation sides for internal jugular vein in terms of antero-posterior and lateral diameters and area in 58 healthy neonates weighed between 3000-3500 grams. The measurements will be made from two access points for internal jugular vein catheterization (superior and inferior) in 3 different Trendelenburg positions (horizontal, 15 and 30 degrees) and in different degrees of head rotation (zero, 15 and 30 degrees to the left) for each Trendelenburg positioning. The measurements will be performed by using ultrasound by the same anesthesiologist.
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Trial website
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Trial related presentations / publications
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Public notes
The sample size was slightly increased in order to reach the target sample size just in case of a need for exclusion.
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Contacts
Principal investigator
Name
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Dr Pelin Karaaslan
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Address
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Medipol Mega Hastaneler Kompleksi
Metin Sokak No:4
34214
Bagcilar/Istanbul
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Country
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Turkey
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Phone
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+905057657550
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Pelin Karaaslan
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Address
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Medipol Mega Hastaneler Kompleksi
Metin Sokak No:4
34214
Bagcilar/Istanbul
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Country
60855
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Turkey
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Phone
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+905057657550
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Pelin Karaaslan
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Address
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Medipol Mega Hastaneler Kompleksi
Metin Sokak No:4
34214
Bagcilar/Istanbul
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Country
60856
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Turkey
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Phone
60856
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+905057657550
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Fax
60856
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Email
60856
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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