Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Syringe-free guidewire-in-needle technique, for ultrasound guided IJV cannulation: A guidewire-adapted needle (Certofix Trio
B Braun, Melsungen, Germany) will be advanced into the anterior wall of the IJV using the short-axis out-of-plane approach. After visualization of the needle as a hyperechoic point at the central
po
Sponsors
AIIMS JODHPUR
Eligibility
Inclusion criteria
Inclusion criteria: Paediatric patients in the age group between 1 month - 5 years, of either sex, belonging to ASA grade 1- 3, requiring central venous catheterization in operation theatre will be included after written informed consent
Exclusion criteria
Exclusion criteria: 1. Patient having infection at the access site. 2. Patients with thrombocytopenia, coagulopathy, or on anticoagulation therapy. 3. Previous history of internal jugular vein catheterization, neck surgeries, or radiation 4. Aberrant IJV anatomy by US imaging (agenesis, strictures, or duplication) and thepresence of a thrombus within the IJV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| comparIson procedure time (from the start of skin puncture to the confirmation of guidewire insertion in the vein using ultrasonography)Timepoint: Start to end of Proedure : Procedure time (from the start of skin puncture to the confirmation of guidewire insertion in the vein using ultrasonography) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Comparison of first attempt success rate 2)Comparison of number of attempts (Each distinct skin puncture is defined as an attempt) 3)Comparison of number of needle redirections (defined as the number of changes made to the needle direction without pulling the entire needle through the skin) 4)Comparison of complications (IJV posterior wall puncture, carotid artery puncture, hematoma formation, pneumothorax)Timepoint: Start to end of Procedure | — |
Countries
India
Contacts
Public ContactDr Kamlesh Kumari
AIIMS Jodhpur
Outcome results
None listed