Ultrasound-image Guided Versus Traditional Landmark Technique for Saphenous Vein Cannulation in Infants and Small Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 102
- 试验地点
- 2
- 主要终点
- Percentage of Participants With First Attempt Success of Saphenous Vein Cannulation
研究概览
简要总结
The purpose of this study is to compare the two different saphenous vein cannulation techniques; real-time ultrasound image-guided technique (Ultrasound group) vs. traditional landmark technique (Landmark group).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- — 至 4 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric patient undergoing scheduled surgery which requires venous cannulation.
- •Term neonates and children < 4 years old weighing >/= 3 kg
排除标准
- •Patient with visible saphenous vein
- •Patient with no detectable saphenous vein under ultrasound
- •Patient with a skin wound or infection around puncture site
- •Patient with recent venous puncture at the puncture site (less than 1 month)
- •Patient with thrombus in saphenous vein or hematoma formation around the vein detected by ultrasound.
- •Patient with any emergency surgery
研究组 & 干预措施
Landmark group
An operator is not allowed to use an ultrasound. A 22 or 24 G catheter will be advanced blindly toward the expected location of the saphenous vein at the level of the medial malleolus. Once blood appears in the hub, then the catheter will be advanced into the saphenous vein.
干预措施: Saphenous vein cannulation (Procedure)
Landmark group
An operator is not allowed to use an ultrasound. A 22 or 24 G catheter will be advanced blindly toward the expected location of the saphenous vein at the level of the medial malleolus. Once blood appears in the hub, then the catheter will be advanced into the saphenous vein.
干预措施: A 22 or 24 G intravenous catheter (Device)
Ultrasound group
An operator will identify the saphenous vein by using ultrasound with a linear transducer (L15-7io) in short axis view. A 22 or 24 G catheter will be advanced until the tip of the needle is seen on the ultrasound image. The needle is then advanced until blood appears in the hub. The catheter is then advanced into the saphenous vein.
干预措施: Saphenous vein cannulation (Procedure)
Ultrasound group
An operator will identify the saphenous vein by using ultrasound with a linear transducer (L15-7io) in short axis view. A 22 or 24 G catheter will be advanced until the tip of the needle is seen on the ultrasound image. The needle is then advanced until blood appears in the hub. The catheter is then advanced into the saphenous vein.
干预措施: ultrasound with a linear transducer (L15-7io) (Device)
Ultrasound group
An operator will identify the saphenous vein by using ultrasound with a linear transducer (L15-7io) in short axis view. A 22 or 24 G catheter will be advanced until the tip of the needle is seen on the ultrasound image. The needle is then advanced until blood appears in the hub. The catheter is then advanced into the saphenous vein.
干预措施: A 22 or 24 G intravenous catheter (Device)
结局指标
主要结局
Percentage of Participants With First Attempt Success of Saphenous Vein Cannulation
时间窗: 10 minutes
次要结局
- Percentage of Participants With Success of Saphenous Vein Cannulation Within 3 Attempts of Needle Insertion, or a 10 Minute Time Period.(10 minutes)
- Time Required for Overall Successful Venous Cannulation.(10 minutes)
研究者
Satoshi Hanada
Clinical Assistant Professor
University of Iowa