"Syringe Free" Long-Axis In-Plane vs. Short-Axis Out-of-Plane Approach for Central Venous Catheter Placement
"Syringe Free" Long-Axis In-Plane vs. Short-Axis Out-of-Plane Approach for Ultrasound-Guided Central Venous Catheter Placement in Critically Ill Children: A Prospective Randomized Study
Internal jugular, subclavian, or femoral veins are often used for central venous catheter (CVC) placement. Regardless of which vein is preferred, the "Seldinger" technique is used most frequently. The most commonly used method with ultrasound is the short-axis out-of-plane approach. The main problem in this method is that the correct needle tip is missed, and it causes some complications by causing posterior wall punctures. The "Syringe-free" technique is first reported by Matias et al. in adults; it is a technique that allows full real-time monitoring of the guidewire insertion into the vein without blood aspiration. It is a great advantage in CVC placement, especially with the long-axis in-plane approach. When the literature is reviewed, no study other than a 12 case study in which brachiocephalic vein catheterization related to CVC placement was performed using this technique in children was found. There is no randomized study comparing the "Syringe-free" Long-Axis In-Plane technique with the classic Short-Axis Out-of-Plane technique in pediatric patients.
This study compares these two techniques' efficacy and complication rates in critically ill children requiring CVC placement.
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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-
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Erzurum、火鸡、25100
- Ataturk University
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-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patients older than 3 months, younger than 15 years old
- Critical illness pediatrics
Exclusion Criteria:
- Patients younger than 3 months and older than 15 years,
- body weight less than 5000 gr,
- anatomical malformation in the neck,
- infection at the intervention site,
- thrombosis
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
有源比较器:syringe free long axis in-plane
|
Long-axis syringe-free in-plane catheter placement
|
假比较器:Short axis out-of-plane
|
Short-axis out-of-plane catheter placement
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Performing time
大体时间:First 10 minutes
|
The time between the insertion of the needle through the skin and insertion of the guidewire into the internal jugular vein.
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First 10 minutes
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Complications
大体时间:First 24 hours
|
Catheter related complications
|
First 24 hours
|
Number of neddle pass
大体时间:First 10 minutes
|
a change in needle direction without pulling the entire needle out of the skin
|
First 10 minutes
|
First pass success
大体时间:First 10 minutes
|
Successful catheterization with only one needle pass.
|
First 10 minutes
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New puncture
大体时间:First 10 minutes
|
Withdraw the needle from the skin to change the puncture site
|
First 10 minutes
|
合作者和调查者
出版物和有用的链接
一般刊物
- Matias F, Semedo E, Carreira C, Pereira P. [Ultrasound-guided central venous catheterization - "Syringe-Free" approach]. Rev Bras Anestesiol. 2017 May-Jun;67(3):314-317. doi: 10.1016/j.bjan.2016.08.005. Epub 2016 Sep 17. Portuguese.
- Balaban O, Turgut M, Aydin T. Ultrasound-guided supraclavicular brachiocephalic vein catheterization in children: Syringe-free in-plane technique with micro-convex probe. J Vasc Access. 2020 Mar;21(2):241-245. doi: 10.1177/1129729819867221. Epub 2019 Sep 6.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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