Comparative Evaluation of Ultrasound Guided Supraclavicular and Infraclavicular Subclavian Venous Catheterization in Pediatric
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ultrasound Guided
- Sponsor
- Al-Azhar University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Puncture time
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Radi Mohamed Radi Mostafa
Resident of Anesthesiology, Surgical Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Al-Azhar University
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Puncture time
Time Frame: Interoperatively
Puncture time was recorded.
Secondary Outcomes
- Incidence of complication(24 hours postoperatively)
- Total access time(Interoperatively)
- First attempt success rate(Interoperatively)
- Quality of needle visualization(Interoperatively)