Healthcare providers use various techniques to access central veins for catheter insertion. These techniques include making a skin incision using a scalpel as a standard procedure or using an introducer needle without a scalpel incision before applying the dilator. The insertion of a catheter into a blood vessel inherently involves puncturing the skin and underlying tissues, which may result in bleeding. Introducer needle in CVC insertion, minimizing bleeding, open heart surgery.
Conditions
Interventions
During CVC placement, once the guidewire is successfully advanced and the needle removed, the proceduralist uses the introducer needle from the CVC insertion kit based on patient randomization to make
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Introducer needle puncture,Scalpel incision group
Sponsors
Department of Anesthesiology
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective open heart surgery with CVC insertion at internal jugular vein 2. Patients aged 18-85 years. 3. American Society of Anesthesiologist (ASA) physical status I-IV. 4. Patients willing to participate in the research and provide signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with infections at the site of CVC insertion or sepsis 2. Patients who decline or request withdrawal from the research. 3. Central venous catheterization with Pulmonary artery catheterization 4. Central venous catheter size larger than 8Fr
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| grading of peri-catheter bleeding post operative day 0 (at the end of operation) grading into 4 levels | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration between dermatotomy to the successful dilation with dilator at the beginning of study quantitative measurement (mins),Attempt of dilatation at the beginning of study ratio scale,Number of dressings used per day in post operative day 1 at the beginning of study ratio scale | — |
Countries
Thailand
Contacts
Public ContactAbhidej Saelao
Department of Anesthesiology Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed