central venous catheterization
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 years or older; 2. Patients who are scheduled to undergo right internal jugular vein catheterization based on surgical requirements or medical condition; 3. Patients for whom the anticipated duration of central venous catheter retention is expected to exceed three days, as determined by clinical assessment.
Exclusion criteria
Exclusion criteria: 1. Infection at the puncture site or cicatricial contracture may compromise the feasibility of central venous puncture. 2. Pre-puncture ultrasound examination revealed thrombosis or anatomical abnormalities in the internal jugular vein, which would impede smooth insertion of the central venous catheter. 3. Contraindications for central venous puncture exist, including but not limited to the conditions mentioned in points 1 and 2. 4. Patients with pre-existing infusion ports. 5. Patients unable to cooperate with central venous puncture under local anesthesia due to various reasons, such as psychiatric disorders. 6. Patients who decline participation, do not provide or refuse to provide informed consent. 7. Patients concurrently enrolled in other studies that could interfere with this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| successful rate of central venous catheterization; | — |
Secondary
| Measure | Time frame |
|---|---|
| time of central venous catheterization;Total time of central venous puncture;The incidence of arterial puncture;The incidence of hematoma;The incidence of oozing blood;The incidence of arrhythmia;The incidence of the needle touches the brachial plexus;The incidence of Pneumothorax;The incidence of Hemothorax;Patient comfort score;Incidence of oozing blood and fluid;Incidence of infection on the skin insertion site;collect exudate from the area surrounding the puncture site or obtain a skin swab for bacterial culture;Incidence of surface thrombosis following extubation;incidence of intraductal thrombosis following extubation;Use hours of the main and auxiliary pipelines per day; | — |
Countries
China
Contacts
the Sixth Affiliated Hospital of Sun Yat-Sen University