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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
65
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.
Seoul National University Hospital
Seoul, Seoul, South Korea, South Korea
Success rate at one time
Success rate to place into the central vein without additional treatment at one time
Time frame: confirmation through ultrasound procedure completed
Number of insertion attempts
Number of insertion attempts to place into the central vein
Time frame: during procedure
Number of additional manipulation
Number of additional manipulation to place into the central vein
Time frame: during procedure
type of additional manipulation
type of additional manipulation to place into the central vein
Time frame: during procedure
the location of catheter in case of the malposition at one time
the location of catheter in case of the malposition at one time
Time frame: confirmation through ultrasound procedure completed
final success rate
final success rate based on confirming in postoperative chest x-ray
Time frame: procedure
final catheter location
final catheter location confirming in postoperative chest X-ray
Time frame: procedure
other complication
other complication such as hematoma, vessel rupture, nonfunction, kinking of catheter
Time frame: procedure
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