Catheterization, Central Venous
Conditions
Keywords
Central venous catheterization, jugular veins, subclavian vein, ultrasound, pediatric anesthesia
Brief summary
The goal of this study was to compare ultrasound-guided central venous catheterization via the IJV to the JSVC using the supraclavicular approach in children. The main questions it aims to answer are: 1. Are ultrasound-guided central venous catheterization via the internal jugular vein (IJV) and via the jugular-supraclavicular vein (JSVC) using the supraclavicular approach equivalent in terms of procedural efficacy (e.g., success rate, time to cannulation) in children? 2. Are these two techniques comparable in terms of safety (e.g., complication rates, adverse events) in pediatric patients?
Interventions
PROCEDUREcentral venous catheterization
ultrasound guided central venous catheterization in children
Sponsors
Tunis University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Months to 14 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 1 month to 14 years, admitted to the pediatric intensive care unit of the anesthesiology and critical care department at Béchir Hamza Children's Hospital in Tunis, or scheduled for major elective surgery under general anesthesia requiring central venous catheter placement.
Exclusion criteria
* Patients in whom ultrasound revealed a thrombotic formation in the vein. * Patients for whom the vein could not be adequately visualized on ultrasound
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| first-attempt Success rate | From the day of randomization until radiographic confirmation of central venous catheter position, assessed up to 6 hours. | Obtaining blood reflux from the target vein on the first attempt |
Countries
Tunisia
Outcome results
None listed