The purpose of the study is to evaluate the success rate using ultrasound as guidance during central venous cannulation in pediatric cardiac surgical patients.
Central venous access may be essential in pediatric patients for fluid and a blood product administration, medication, parenteral nutrition, renal replacement therapy and hemodynamic monitoring. Obtaining central venous access in pediatric patients can be challenging, failure rates in pediatric patients range from 5% to 19% with reported complication rates from 2.5% to 22%. The landmark technique has been standard approach for many years. In comparison with landmark method, in pediatric patients, the use of ultrasound is associated with an increased success rate decreased operative time, reduced number of cannulation attempts , and a decreased number of carotid artery punctures. This study is designed to evaluate the success rate, complications, time taken for successful cannulation and their correlation with cross sectional area of the vein.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
106
Ultrasound guided internal jugular venous catheterization
Shahid Gangalal NationalHeart Centre
Kathmandu, Bagmati, Nepal
Number of Attempts for Successful Central Venous Cannulation
An attempt will be considered when complete withdrawal of the puncturing needle out of skin surface will occur
Time frame: up to 24 hours after intervention
Time to Successful Cannulation
Time from skin prick to blood aspiration via the catheter immediately following the guide-wire removal
Time frame: up to 1 hour after intervention
Number of Patients With Complications
Arterial puncture, Hemothorax, Pneumothorax, Local site hematoma
Time frame: up to 24 hours after intervention
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