Infraclavicular, Pediatric, Subclavian, Supraclavicular, Ultrasound Guided, Venous Catheterization
Conditions
Brief summary
The aim of this study was to compare between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in pediatric to get clinical practice of rapid, accurate central venous catheter, insertion and less Complications.
Detailed description
Vascular access in children can be challenging. There is a considerable body of evidence supporting the use of ultrasound to aid central venous access in adults, but less so in children. Benefits for experienced operators may be small, but there is evidence of benefit for those acquiring skills and for less frequent operators. Central venous catheter (CVC) placement is one of the most important invasive procedures in the intensive care for children of all ages. And health care outcomes largely depend on the success of its implementation. There are a large number of historically and clinically significant methods of central venous catheterization, and the advantages and disadvantages of each of them have been discussed for many years. Ultrasonography is becoming an increasingly useful adjunct in the placement of Percutaneous central lines.
Interventions
DEVICEUltrasound-guided supraclavicular approach
Patients submitted to Supraclavicular approach for ultrasound-guided Subclavian veinous catheterization.
DEVICEUltrasound-guided infraclavicular approach
Patients submitted to Infraclavicular approach for ultrasound-guided Subclavian veinous catheterization.
Sponsors
Al-Azhar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Aged from 4 to 12 years. * Both sexes. * All children who need central venous line insertion. * Intra-operative Hemodynamic monitoring. * Volume and Inotrope Resuscitation. * Difficult Peripheral IV Access. * Intravenous Nutrition and Medications.
Exclusion criteria
* Coagulopathy. * Distorted anatomy. * Infection systemic or cutaneous near the proposed Point of insertion. * Skeletal deformity. * History of previous neck surgery. * Head and neck mass. * Guardian Refusal. * Pneumothorax Or Hemothorax.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Puncture time | Interoperatively | Puncture time was recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of complication | 24 hours postoperatively | Incidence of complication was recorded such as complication rates.failure rate haematoma, pneumothorax |
| Quality of needle visualization | Interoperatively | Quality of needle visualization was recorded |
| Total access time | Interoperatively | Total access time was recorded |
| First attempt success rate | Interoperatively | First attempt success rate was recorded |
Countries
Egypt
Outcome results
None listed