Regional anesthesia

Wire-in-needle versus conventional syringe-on-needle technique for ultrasound-guided central venous catheter insertion in the internal jugular vein: the WIN randomized trial

J Clin Monit ComputPublished Randomised controlled trial

Authors' conclusion

The wire-in-needle technique-compared with the syringe-on-needle technique-did not reduce the time to successful guidewire insertion in the internal jugular vein.

Study context

Population
Adults undergoing ultrasound-guided central venous catheter (CVC) insertion in the internal jugular vein238 analysed
Participants
250 adults
Comparison
Wire-in-needle vs Syringe-on-needle
  • Wire-in-needlen = 116
  • Syringe-on-needlen = 122reference
Primary endpoint
Time to successful guidewire insertion in the internal jugular vein

Primary result

As reported in the abstract

Estimated location shift

2 s

95% CI - 1 to 5

P = 0.165

By group

Further findings

First-attempt successful CVC insertion

Safety

CVC insertion-related complications

Original publication

Wire-in-needle versus conventional syringe-on-needle technique for ultrasound-guided central venous catheter insertion in the internal jugular vein: the WIN randomized trial. J Clin Monit Comput. Published 14 October 2024. doi:10.1007/s10877-024-01232-4

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