Health Condition 1: 2- Placement
Conditions
Interventions
Intervention1: Adducted arm position: The infraclavicular axillary vein will be cannulated in adducted arm position in one group.
Duration - From the time of cannulation upto 24 hours of observation
Sponsors
Mahatma Gandhi Medical College and Research Institute
Eligibility
Inclusion criteria
Inclusion criteria: ASA I - IV patients, aged 18 years and above, requiring central venous cannulation for hemodynamic monitoring, administration of vasopressors, chemotherapeutic agents, parenteral nutrition, longâ??term therapy with antibiotics and patients with difficult peripheral venous access.
Exclusion criteria
Exclusion criteria: Patients with rib/clavicle or upper limb fractures, restriction of shoulder movements, those who have undergone thoracic surgeries, patients with respiratory disorders, patients with difficult sonoanatomy (when the vein cannot be visualised under ultrasound guidance), coagulopathy, infection at the site of cannulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the first pass success rate of guidewire placement into infraclavicular axillary vein in two different arm positionsTimepoint: At the time of cannulation | — |
Secondary
| Measure | Time frame |
|---|---|
| Catheter tip malpositions into Internal Jugular Vein and Brachiocephalic VeinTimepoint: At the time of cannulation;Complications- arterial punctureTimepoint: At the time of cannulation;Distance from Coracoid process to midpoint of Sternoclavicular NotchTimepoint: At the end of cannulation;Distance from midpoint of Supraclavicular Notch to catheter entry site in Adduction and AbductionTimepoint: At the end of cannulation;Failure in the allocated groupTimepoint: At the time of cannulation;Incidence of pneumothoraxTimepoint: At the end of cannulation;Number of attempts in the allocated groupTimepoint: At the time of cannulation | — |
Countries
India
Contacts
Public ContactP Rani
Mahatma Gandhi Medical College and Research Institute
Outcome results
None listed