Comparison of the Central Venous Catheter Insertion Techniques: the Thin-wall Needle Versus the Catheter-over-the-needle Technique in Children
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 138
- Locations
- 1
- Primary Endpoint
- Guide-wire insertion time
Study Overview
Brief Summary
The purpose of this study is to compare the differences in central venous catheter insertion time, success rate, and complication between thin-wall needle technique and catheter-over-the-needle technique for central venous catheterization in children.
Detailed Description
Catheterization was performed using ultrasound with an "out-of-plane" approach by inserting the introducer needle (thin-wall needle technique) or Angiocath Plus™ catheter (catheter-over-the-needle technique) in 45 - 60° to the patient's skin while viewing the vein in a cross section.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- — to 5 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •surgery under general anesthesia
- •require central venous catheterization
Exclusion Criteria
- •hematoma in central vein
- •central vein anomaly
- •catheterization site infection
Arms & Interventions
Catheter-over-the-needle technique
to use the 22G angiocatheter for central venous catheterization
Intervention: catheter-over-the-needle technique (Other)
Thin-wall needle technique
to use the sharp hollow 23G needle for central venous catheterization
Intervention: Thin-wall needle technique (Other)
Outcomes
Primary Outcomes
Guide-wire insertion time
Time Frame: interval between skin penetration and removal of the needle or catheter after guide wire insertion, an expected average of 80 seconds
Secondary Outcomes
- Time to first puncture of central vein(interval between skin penetration of the needle or catheter and flashback of blood, an expected average of 25 seconds)
- Total time of central venous catheter insertion(interval between skin penetration of the needle or catheter and installation of the indwelling catheter, an expected average of 3 minutes)
- Number of central vein puncture trial(up to 5 times, an expected average observation time of 25 seconds)
- Number of guide-wire insertion trial(up to 5 times, an expected average observation time of 80 seconds)
Investigators
Jin-Tae Kim
Assistant professor
Seoul National University Hospital