A Randomize Controlled Trial to Compare the Complications of Subclavian and Internal Jugular Venous Catheterization in Critically Ill Patients
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- Time to completely insertion
研究概览
简要总结
There is no randomized controlled trial to compare the rates of complications associated with internal jugular and subclavian venous catheterization. The aim of this study is to compare mechanical, infectious, and thrombotic complications of internal jugular and subclavian venous catheterization. An improved understanding of CVC-related risks might help clinicians to choose one approach over the other in specific clinical settings.
详细描述
Central venous catheterization is often necessary to treat critically ill patients hospitalized in intensive care units (ICUs). However, this procedure may lead to serious and sometimes life-threatening complications, including mechanical, infectious, or thrombotic complications. The choice of insertion site can influence the incidence and type of such complications. The most frequently used sites for CVC insertion are the internal jugular and the subclavian vein. However, in an individual patient, criteria for choosing one approach over the other remain unclear.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •admission to ICU
- •requiring central venous catheterization
- •without contraindications to attempt both jugular and internal jugular access
排除标准
- •the presence of a central venous catheter at admission
- •central venous catheterization within 2 weeks prior to admission
- •emergency catheterization for a life-threatening situation
- •major blood coagulation disorders
- •anatomic defect precluding catheterization at either site
- •skin lesions or recent surgery at either site
结局指标
主要结局
Time to completely insertion
时间窗: 1 hour
次要结局
- rates of mechanical, infectious, and thrombotic complications(14 days)