Central Venous Catheters
Conditions
Brief summary
In pediatric patients under the age of 18 who undergo surgery under general anesthesia, when inserting peripherally inserted central venous catheterization, the group that inserts the catheter with the obturator and the group that inserts the catheter without the obturator is inserted into the appropriate position.
Detailed description
In pediatric patients under the age of 18 who undergo surgery under general anesthesia, when inserting peripherally inserted central venous catheterization, the group that inserts the catheter with the obturator and the group that inserts the catheter without the obturator is inserted into the appropriate position. There is no study confirming the probability of being placed in the central vein at a time when the catheter is inserted without the obturator, and there is no study comparing the clinical effect by dividing the case with the obturator and the obturator. In children, the blood vessels are small and there is a high probability that they cannot be located in the central vein when the peripheral vein is inserted. Therefore, when a peripheral implanted central venous tube is inserted into a pediatric patient under general anesthesia under 18 years of age, the probability that the catheter is inserted without using an obturator will be located in the central vein at a time rather than using an obturator to insert the catheter. It could help pediatric patients to manage anesthesia and post-surgical care by reducing potential complications from using obturator.
Interventions
OTHERturbo-ject PICC set
The turbo-ject PICC set, which will be used in this study, is the set for peripherally inserted central catheterization. In this study, we will see the difference according to the presence or absence of the hydrophilic coated stiffening obturator included in this turbo-ject PICC set.
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
Yes
Inclusion criteria
* Children under 18 years of age undergoing general anesthesia surgery at Seoul National University Hospital * ASA class I, II * If the legal guardian voluntarily consents after the explanation of the research
Exclusion criteria
* Patients with a history of heart surgery or a history of congenital heart disease * Patients with hemodynamically unstable or massive bleeding and shock * Infection or systemic infection is suspected * Patients who have a blood clotting disorder * Abnormal cases when the vessel to be inserted is confirmed by ultrasound * the cases that the researcher determines that it is inappropriate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate at one time | confirmation through ultrasound procedure completed | Success rate to place into the central vein without additional treatment at one time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of additional manipulation | during procedure | Number of additional manipulation to place into the central vein |
| type of additional manipulation | during procedure | type of additional manipulation to place into the central vein |
| the location of catheter in case of the malposition at one time | confirmation through ultrasound procedure completed | the location of catheter in case of the malposition at one time |
| Number of insertion attempts | during procedure | Number of insertion attempts to place into the central vein |
| final catheter location | procedure | final catheter location confirming in postoperative chest X-ray |
| other complication | procedure | other complication such as hematoma, vessel rupture, nonfunction, kinking of catheter |
| final success rate | procedure | final success rate based on confirming in postoperative chest x-ray |
Countries
South Korea
Outcome results
None listed