Ultrasound Guided Supraclavicular and Infraclavicular Subclavian vs Catheterization in Pediatric

Not Applicable

Completed

• Conditions: Supraclavicular; Venous Catheterization; Pediatric; Subclavian; Ultrasound Guided; Infraclavicular

• Registration Number: NCT06575491
• Lead Sponsor: Al-Azhar University

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.

Study Timeline

• Study Start: 2023-09-01
• Primary Completion: 2024-06-01
• Study Completion: 2024-06-01
• Status Verified: 2024-08
• Study First Submitted: 2024-08-26
• Study First Submitted QC: 2024-08-27
• Last Update Submitted: 2024-08-27
• Study First Posted: 2024-08-28
• Last Update Posted: 2024-08-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Puncture time	Interoperatively	Puncture time was recorded.

Secondary Outcome Measures

Name	Time	Method
Incidence of complication	24 hours postoperatively	Incidence of complication was recorded such as complication rates.failure rate haematoma, pneumothorax
Total access time	Interoperatively	Total access time was recorded
First attempt success rate	Interoperatively	First attempt success rate was recorded
Quality of needle visualization	Interoperatively	Quality of needle visualization was recorded

Trial Locations

Locations (1)

Al-Azhar University; 🇪🇬 Cairo, Egypt