Health Condition 1: R098- Other specified symptoms and signsinvolving the circulatory and respiratory systems
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of ASA grade I,II,III Patients scheduled for elective or emergency surgery requiring central venous access
Exclusion criteria
Exclusion criteria: Patient Refusal to participate or withdrawal of consent. Coagulopathy or thrombocytopenia . Pregnany women Known anatomical deformities or history of neck , clavicular or thoracic surgery affecting cannulation sites. Local infection, burn or trauma at proposed puncture sites.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful cannulation is defined as confirmed central vein cannulation(CVC) placement within the intended vein, with free aspiration of blood from all three catheter ports. A post-procedural chest radiograph will be obtained within 24 hours to assess for complications such as pneumothorax or hemothorax. In both the techniques mean cannulation time and number of attempts required to secure central vein catheter will be assessed Needle Puncture time (A): from initial vein scanning to successful vein puncture. Guidewire insertion time (B): from vein puncture to guidewire insertion and its confirmation via USG. Cannulation time (C): from guidewire insertion to successful placement and confirmation of the CVC with aspiration from all three ports. The total central vein cannulation (CVC) time(T) will be calculated as A+B+C. Timepoint: Needle Puncture time (A): from initial vein scanning to successful vein puncture. Needle Puncture time (A): from initial vein scanning to successful vein puncture. Guidewire insertion time (B): from vein puncture to guidewire insertion and its confirmation via USG. Guidewire insertion time (B): from vein puncture to guidewire insertion and its confirmation via USG. | — |
Secondary
| Measure | Time frame |
|---|---|
| Needle Puncture time (A): from initial vein scanning to successful vein puncture. Guidewire insertion time (B): from vein puncture to guidewire insertion and its confirmation via USG. Cannulation time (C): from guidewire insertion to successful placement and confirmation of the CVC with aspiration from all three ports. The total central vein cannulation (CVC) time(T) will be calculated as A+B+C. Timepoint: | — |
Countries
India
Contacts
MGM MEDICAL COLLEGE