Comparative Evaluation of Ultrasound Guided Supraclavicular and Infraclavicular Subclavian Venous Catheterization in Pediatric
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Puncture time
研究概览
简要总结
The aim of this study was to compare between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in pediatric to get clinical practice of rapid, accurate central venous catheter, insertion and less Complications.
详细描述
Vascular access in children can be challenging. There is a considerable body of evidence supporting the use of ultrasound to aid central venous access in adults, but less so in children. Benefits for experienced operators may be small, but there is evidence of benefit for those acquiring skills and for less frequent operators.
Central venous catheter (CVC) placement is one of the most important invasive procedures in the intensive care for children of all ages. And health care outcomes largely depend on the success of its implementation. There are a large number of historically and clinically significant methods of central venous catheterization, and the advantages and disadvantages of each of them have been discussed for many years.
Ultrasonography is becoming an increasingly useful adjunct in the placement of Percutaneous central lines.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 4 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged from 4 to 12 years.
- •Both sexes.
- •All children who need central venous line insertion.
- •Intra-operative Hemodynamic monitoring.
- •Volume and Inotrope Resuscitation.
- •Difficult Peripheral IV Access.
- •Intravenous Nutrition and Medications.
排除标准
- •Coagulopathy.
- •Distorted anatomy.
- •Infection systemic or cutaneous near the proposed Point of insertion.
- •Skeletal deformity.
- •History of previous neck surgery.
- •Head and neck mass.
- •Guardian Refusal.
- •Pneumothorax Or Hemothorax.
结局指标
主要结局
Puncture time
时间窗: Interoperatively
Puncture time was recorded.
次要结局
- Incidence of complication(24 hours postoperatively)
- Total access time(Interoperatively)
- First attempt success rate(Interoperatively)
- Quality of needle visualization(Interoperatively)
研究者
Radi Mohamed Radi Mostafa
Resident of Anesthesiology, Surgical Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Al-Azhar University