Real-time ultrasound guidance for central venous catheter catheterism is recommended in order to reduce complication, in particular for internal jugular site1. Nevertheless, the usefulness of ultrasound guidance for subclavian approach remains controversial, in particular because needle visualisation is more complex as compared to jugular site2,3. New magnetic devices (Needle-pilotTM device, Samsung Healthcare) could theoretically allow a better needle visualisation and a better success rate. The investigators hypothesize that such device could improve the feasibility of subclavian catheterism. As this device has not been evaluated in patients, the investigators decided to perform a simulation study on a human torso mannequin. This methodology has been already used by Vogel et al in 20154. The main objective aims to compare the procedure time between conventional real time ultrasound guidance and guidance with Needle-pilot™ device.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
51
The main objective aims to compare the procedure time between conventional real time ultrasound guidance and guidance with Needle-pilotTM device.
CHU de Nîmes, Hôpital Universitaire Carémeau
Nîmes, France
First puncture success delay
comparison of time (in seconds) between first puncture and successful "blood-aspiration" on a "subclavian venous" torso mannequin.
Time frame: during the procedure
Failure Rate
Failure is defined as a puncture time \> 300 seconds. The criterion corresponds to an absolute value: failure or not
Time frame: during the procedure
Cutaneous wall
Counting the number of times each participant will puncture the wall of the mannequin before succeeding in puncturing the vessel with the 2 techniques and comparing this number between groups.
Time frame: during the procedure
Posterior wall
Number of posterior vessel wall penetration
Time frame: during the procedure
Puncture comfort
Operator puncture comfort feeling is assessed from 0 to 10 by each participants for each technique.
Time frame: immediately after the procedure
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