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The Success Rate of Catheter Insertion by the Presence of Obturator During Peripherally Inserted Central Venous Catheter

Not Applicable
Active, not recruiting
Conditions
Central Venous Catheters
Interventions
Other: turbo-ject PICC set
Registration Number
NCT04393844
Lead Sponsor
Seoul National University Hospital
Brief Summary

In pediatric patients under the age of 18 who undergo surgery under general anesthesia, when inserting peripherally inserted central venous catheterization, the group that inserts the catheter with the obturator and the group that inserts the catheter without the obturator is inserted into the appropriate position.

Detailed Description

In pediatric patients under the age of 18 who undergo surgery under general anesthesia, when inserting peripherally inserted central venous catheterization, the group that inserts the catheter with the obturator and the group that inserts the catheter without the obturator is inserted into the appropriate position.

There is no study confirming the probability of being placed in the central vein at a time when the catheter is inserted without the obturator, and there is no study comparing the clinical effect by dividing the case with the obturator and the obturator. In children, the blood vessels are small and there is a high probability that they cannot be located in the central vein when the peripheral vein is inserted.

Therefore, when a peripheral implanted central venous tube is inserted into a pediatric patient under general anesthesia under 18 years of age, the probability that the catheter is inserted without using an obturator will be located in the central vein at a time rather than using an obturator to insert the catheter. It could help pediatric patients to manage anesthesia and post-surgical care by reducing potential complications from using obturator.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
65
Inclusion Criteria
  • Children under 18 years of age undergoing general anesthesia surgery at Seoul National University Hospital
  • ASA class I, II
  • If the legal guardian voluntarily consents after the explanation of the research
Exclusion Criteria
  • Patients with a history of heart surgery or a history of congenital heart disease
  • Patients with hemodynamically unstable or massive bleeding and shock
  • Infection or systemic infection is suspected
  • Patients who have a blood clotting disorder
  • Abnormal cases when the vessel to be inserted is confirmed by ultrasound
  • the cases that the researcher determines that it is inappropriate

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
with obturatorturbo-ject PICC setA group using an obturator when performing peripherally inserted central venous catheterization in children under 18 years of age under general anesthesia.
without obturatorturbo-ject PICC setA group that does not use an obturator when performing peripherally inserted central venous catheterization in children under 18 years of age under general anesthesia.
Primary Outcome Measures
NameTimeMethod
Success rate at one timeconfirmation through ultrasound procedure completed

Success rate to place into the central vein without additional treatment at one time

Secondary Outcome Measures
NameTimeMethod
other complicationprocedure

other complication such as hematoma, vessel rupture, nonfunction, kinking of catheter

the location of catheter in case of the malposition at one timeconfirmation through ultrasound procedure completed

the location of catheter in case of the malposition at one time

Number of insertion attemptsduring procedure

Number of insertion attempts to place into the central vein

type of additional manipulationduring procedure

type of additional manipulation to place into the central vein

final success rateprocedure

final success rate based on confirming in postoperative chest x-ray

Number of additional manipulationduring procedure

Number of additional manipulation to place into the central vein

final catheter locationprocedure

final catheter location confirming in postoperative chest X-ray

Trial Locations

Locations (1)

Seoul National University Hospital

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Seoul, Seoul, South Korea, Korea, Republic of

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