Ultrasound Guided Technique for Internal Jugular Central Venous Catheterization in Pediatric Cardiac Surgical Patients

Shahid Gangalal National Heart Centre

Status: Completed

Conditions: Accidental Puncture of Artery During Catheter Insertion

Treatments: Device: Central Venous Catheterization

Study type: Interventional

Funder types: Other

Identifiers

NCT02687126

SGNHC

Details and patient eligibility

About

The purpose of the study is to evaluate the success rate using ultrasound as guidance during central venous cannulation in pediatric cardiac surgical patients.

Full description

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.

Enrollment: 106 patients

Sex: All

Ages: 1 day to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients requiring central venous catheterization for elective cardiac surgery.
2. Age below 15 years.

Exclusion criteria

1. Patient's guardian's refusal
2. Bleeding disorders
3. Clotting abnormalities (platelets count < 75,000/cumm, INR > 2)
4. Local site of infection
5. Underlying pneumothorax, pleural effusion or preoperative insertion of chest tube

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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106 participants in 1 patient group

Pediatric Cardiac Surgical Patients

Other group

Description:

Central Venous Catheterization

Treatment:

Device: Central Venous Catheterization