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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
40
Patients submitted to Supraclavicular approach for ultrasound-guided Subclavian veinous catheterization.
Patients submitted to Infraclavicular approach for ultrasound-guided Subclavian veinous catheterization.
Al-Azhar University
Cairo, Egypt
Puncture time
Puncture time was recorded.
Time frame: Interoperatively
Total access time
Total access time was recorded
Time frame: Interoperatively
First attempt success rate
First attempt success rate was recorded
Time frame: Interoperatively
Quality of needle visualization
Quality of needle visualization was recorded
Time frame: Interoperatively
Incidence of complication
Incidence of complication was recorded such as complication rates.failure rate haematoma, pneumothorax
Time frame: 24 hours postoperatively
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