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

NCT ID: NCT02687126

Last Updated: 2017-04-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

106 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2016-11-30

Brief Summary

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

Detailed Description

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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.

Conditions

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Accidental Puncture of Artery During Catheter Insertion

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Pediatric Cardiac Surgical Patients

Central Venous Catheterization

Group Type OTHER

Central Venous Catheterization

Intervention Type DEVICE

Ultrasound guided internal jugular venous catheterization

Interventions

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Central Venous Catheterization

Ultrasound guided internal jugular venous catheterization

Intervention Type DEVICE

Eligibility Criteria

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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
Minimum Eligible Age

1 Day

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shahid Gangalal National Heart Centre

OTHER

Sponsor Role lead

Responsible Party

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Santosh Sharma Parajuli

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Santosh S Parajuli, MD

Role: PRINCIPAL_INVESTIGATOR

Shahid Gangalal National Heart Centre

Locations

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Shahid Gangalal NationalHeart Centre

Kathmandu, Bagmati, Nepal

Site Status

Countries

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Nepal

References

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Froehlich CD, Rigby MR, Rosenberg ES, Li R, Roerig PL, Easley KA, Stockwell JA. Ultrasound-guided central venous catheter placement decreases complications and decreases placement attempts compared with the landmark technique in patients in a pediatric intensive care unit. Crit Care Med. 2009 Mar;37(3):1090-6. doi: 10.1097/CCM.0b013e31819b570e.

Reference Type RESULT
PMID: 19237922 (View on PubMed)

Wigmore TJ, Smythe JF, Hacking MB, Raobaikady R, MacCallum NS. Effect of the implementation of NICE guidelines for ultrasound guidance on the complication rates associated with central venous catheter placement in patients presenting for routine surgery in a tertiary referral centre. Br J Anaesth. 2007 Nov;99(5):662-5. doi: 10.1093/bja/aem262. Epub 2007 Sep 14.

Reference Type RESULT
PMID: 17872936 (View on PubMed)

Other Identifiers

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SGNHC

Identifier Type: -

Identifier Source: org_study_id

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