Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult critically ill patients admitted in ICU requiring central venous cannulation
Exclusion criteria
Exclusion criteria: 1. Body Mass Index >30kg/m2 . 2. Contraindications to the Central Venous Catheterization insertion (coagulopathies, on anticoagulants, thrombosis, local site infection). 3. Raised Intracranial Pressure. 4. Patients with arrhythmia or underlying lung disease. 5. Vertical depth of Axillary Vein >4cm from skin.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare ultrasound guided infraclavicular axillary vein versus internal jugular vein cannulation in adult critically ill patients using total procedural timeTimepoint: Total time required from placement of the USG probe to the completion of final dressing. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Access time 2. Guidewire time 3. Skin to vein depth 4. Needle attempts 5. ComplicationsTimepoint: Access time - Time required from first skin puncture to the aspiration of blood from vein through the needle. Guidewire time - From needle puncture to smooth passage of guidewire till 20 cm Skin to vein depth - Vertical depth of the respective vein from skin Needle attempts - Every time the needle enters the skin after exiting will be described as an attempt Complications: Arrythmias, Arterial puncture, Hematoma, Pneumothorax, Misplaced guidewire, Site conversion. | — |
Countries
India
Contacts
Vardhman Mahavir Medical College and Safdarjung Hospital