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Unfortunately, they are accompanied by minor as well as major complications, leading to increased morbidity, mortality and costs. Immediate insertion-related complications (mechanical complications) have decreased due to the implementation of real-time ultrasound guidance, but they still occur and additional efforts to enhance patient safety are warranted. This study aims to investigate whether the use of a needle guide mounted on the ultrasound probe in subclavian catheterisations may decrease the number of catheterisations with &gt;1\u2009skin puncture (primary outcome).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This is an investigator-initiated, non-commercial, randomised, controlled, parallel-group study conducted at Sk\u00e5ne University Hospital, Lund, Sweden. Adults (\u226518 years) with a clinical indication for a subclavian central venous catheter and the ability to give written informed consent will be eligible for inclusion. Exclusion criteria include subclavian catheterisation deemed unsuitable based on the preprocedural ultrasound examination. Patients will be randomised to catheterisation by certified operators using a microconvex probe (long-axis, in-plane technique) with (n=150) or without (n=150) a needle guide. The ultrasound imaging from the procedures will be recorded and assessed by two reviewers individually. The assessors will be blinded for group affiliation. Secondary outcomes include the total number of skin punctures, mechanical complications, time to successful venous puncture, number of failed catheterisations and operator satisfaction with the needle guide at the end of the study period.<\/jats:p>\n                    <jats:p>Recruitment started on 8 November 2022 and will continue until the sample size is achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This study was approved by the Swedish Ethical Review Authority (#2022-04073-01) and the Swedish Medical Products Agency (#5.1-2022-52130; CIV-21-12-038367). The findings will be submitted to an international peer-reviewed journal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT05513378\">NCT05513378<\/jats:ext-link>\n                      , clinicaltrials.gov.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-080515","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T12:55:14Z","timestamp":1702990514000},"page":"e080515","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound-guided subclavian vein catheterisation with a needle guide (ELUSIVE): protocol for a randomised controlled study"],"prefix":"10.1136","volume":"13","clinical-trial-number":[{"clinical-trial-number":"nct05513378","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2711-5866","authenticated-orcid":false,"given":"Leila","family":"Naddi","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Lund University, Lund, Sweden"},{"name":"Department of Intensive and Perioperative Care, Sk\u00e5ne University Hospital Lund, Lund, Sk\u00e5ne, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ola","family":"Borgquist","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lund University, Lund, Sweden"},{"name":"Department of Cardiothoracic Surgery, Anaesthesia and Intensive Care, Sk\u00e5ne University Hospital Lund, Lund, Sk\u00e5ne, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9665-3692","authenticated-orcid":false,"given":"Maria","family":"Adrian","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lund University, Lund, Sweden"},{"name":"Department of Cardiothoracic Surgery, Anaesthesia and Intensive Care, Sk\u00e5ne University Hospital Lund, Lund, Sk\u00e5ne, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f6rn P","family":"Bark","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lund University, Lund, Sweden"},{"name":"Department of Intensive and Perioperative Care, Sk\u00e5ne University Hospital Lund, Lund, Sk\u00e5ne, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5404-2981","authenticated-orcid":false,"given":"Thomas","family":"Kander","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lund University, Lund, Sweden"},{"name":"Department of Intensive and Perioperative Care, Sk\u00e5ne University Hospital Lund, Lund, Sk\u00e5ne, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"2025121401155487000_13.12.e080515.1","unstructured":"Central venous catheter market size, share and trends analysis, global 2020-2026. 2020. 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