Health Condition 1: O- Medical and Surgical Health Condition 2: 2- Placement
Conditions
Interventions
Intervention1: Dynamic needle tip positioning using short axis out of plane approach: For the dynamic needle tip positioning technique, a short axis out - of plane view of the IJV would be obtained an
Sponsors
AIIMS Raipur
Eligibility
Inclusion criteria
Inclusion criteria: Patients requiring central venous cannulation for hemodynamic monitoring, multiple drug and fluid infusions, ionotropes infusion intraoperatively
Exclusion criteria
Exclusion criteria: 1. Patient refusal 2. Patients with raised intracranial pressure 3.Obstruction or stenosis of IJV 4.Severe coagulopathy 5. Infection over the insertion site 6. Trauma to the neck
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the first pass success rate of Internal Jugular Vein cannulation by Dynamic needle tip positioning using short axis out plane approach and Long axis in plane approach.Timepoint: Time taken for successful cannulation approximately 15 to 30 minutes after induction. | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Cannula insertion failure. (2) Number of attempts. (3) Cannulation time in seconds. (4) Complications (hematoma, chylothorax, pneumothorax, carotid artery puncture)Timepoint: (1) Cannula insertion failure (considered to be more than 3 cannulation attempts for a single arm or the attempted cannulation time more than 5 minutes) (2) Number of attempts (defined as the number of skin perforations caused by the needle), (3) Cannulation time in seconds (return of venous blood in the syringe and detection of guidewire ultrasonographically in the vein). | — |
Countries
India
Contacts
Public ContactDr Mayank Kumar
AIIMS RAIPUR
Outcome results
None listed