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Comparison of neck vein and shoulder vein cannulation under ultrasound guidance in adult patients

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2023/05/052615
Lead Sponsor
Vardhman Mahavir Medical College and Safdarjung Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Adult critically ill patients admitted in ICU requiring central venous cannulation

Exclusion Criteria

1.Body Mass Index >30kg/m2 .

2.Contraindications to the Central Venous Catheterization insertion (coagulopathies, on anticoagulants, thrombosis, local site infection).

3.Raised Intracranial Pressure.

4.Patients with arrhythmia or underlying lung disease.

5.Vertical depth of Axillary Vein >4cm from skin.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare ultrasound guided infraclavicular axillary vein versus internal jugular vein <br/ ><br>cannulation in adult critically ill patients using total procedural timeTimepoint: Total time required from placement of the USG probe to the completion of final dressing. <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
1. Access time <br/ ><br>2. Guidewire time <br/ ><br>3. Skin to vein depth <br/ ><br>4. Needle attempts <br/ ><br>5. ComplicationsTimepoint: Access time - Time required from first skin puncture to the aspiration of blood from vein through the needle. <br/ ><br>Guidewire time - From needle puncture to smooth passage of guidewire till 20 cm <br/ ><br>Skin to vein depth - Vertical depth of the respective vein from skin <br/ ><br>Needle attempts - Every time the needle enters the skin after exiting will be described as an attempt <br/ ><br>Complications: Arrythmias, Arterial puncture, Hematoma, Pneumothorax, Misplaced guidewire, Site conversion.
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