supraclavicular v/s infraclavicular approach of subclavian vein cannulation in ICU patients
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Total access time of cannulation of each technique and
研究概览
简要总结
TITLE: Supraclavicular versus Infraclavicular approach of subclavian vein cannulation in ICU patients
Background: Subclavian vein is generally preferred in ICU for central access. Infraclavicular and supraclavicular approaches are the two techniques of subclavian venous catheterisation. Infra clavicular approach to subclavian vein has been widely used. The supraclavicular approach is less often used though this approach of subclavian vein catheterisation has some distinct advantages. So aim of our study was to compare the supraclavicular and infraclavicular approaches of subclavian vein cannulation in terms of success rate and safety profile.
Material and Methods**:** A total of sixty critically ill patients aged between twenty-sixty years of either sex admitted in ICU, where central venous catheterisation was indicated were enrolled in the study. Group I included thirty patients where right Subclavian vein cannulation was performed using Supraclavicular approach. Group II included thirty patients where right Subclavian vein cannulation was performed using Infraclavicular approach.The parameters recorded in the study included success rate of cannulation, number of attempts to cannulate the vein, time required to obtain the access and the various complications. The results of the study were compiled, tabulated and compared statistically using unpaired t-test and Pearson’s Chi-square test.
**Results:**The first attempt success rate in Group I (supraclavicular group) is significantally higher than in Group II (Infraclavicular group).The time required to access is also less in GroupI( supraclavicular group) as compared to Group II and is statistically significant.
Conclusion: We concluded that supraclavicular approach has high first attempt success rate and also the time required to access is less as compared to infraclavicular approach.
Keywords: ICU, subclavian vein, supraclavicular approach, infraclavicular approach
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •60 adult patients of either sex admitted in ICU requiring central venous cannulation.
排除标准
- •Patients with infection at puncture site, deranged coagulation profile, contralateral pneumothorax, distorted anatomy of neck, cervical spine trauma.
结局指标
主要结局
Total access time of cannulation of each technique and
时间窗: Single point of time
first attempt success rate of each technique.
时间窗: Single point of time
次要结局
- Incidence of complications(Single)