Health Condition 1: null- Children aged 1 month- 14 years admitted in pediatric ICU requiring central venous catheterisation
Conditions
Interventions
Intervention1: Lowered shoulder position: The patient is placed in supine position. The ipsilateral arm and shoulder is gently pulled downwards towards the knee by grasping and pulling the wrist of th
Sponsors
PGIMER and Dr RML Hospital
Eligibility
Inclusion criteria
Inclusion criteria: children aged 1 month- 14 years admitted in pediatric ICU requiring central venous catheterisation
Exclusion criteria
Exclusion criteria: 1. Coagulation defects 2. Patients on anticoagulant therapy 3. Infection at puncture site 4. Pneumothorax 5. Chest deformities 6. Prior clavicle fracture 7. Prior thoracic surgery 8. Distorted anatomy of the neck and clavicle 9. H/o Radiotherapy, scar, past surgery over site of catheterization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| successful infraclavicular subclavian catheterizationTimepoint: one time observation | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of total attempts to successful catheterisationTimepoint: one time observation;Change in site of catheterizationTimepoint: one time observation;Arterial punctureTimepoint: one time observation;Failure to puncture subclavian veinTimepoint: one time observation;Failure to thread guide-wireTimepoint: one time observation;Failure to thread catheter over guide-wireTimepoint: one time observation;Misplacement of the catheter (if the catheter is in the internal jugular vein or brachiocephalic veinTimepoint: one time observation;Time to successful catheterization (time between first skin puncture to successful Placement of the catheter; we will exclude time taken for chest X ray) Timepoint: one time observation | — |
Countries
India
Contacts
Public ContactSudha Chandelia
PGIMER and Dr. RML Hospital.
Outcome results
None listed