Ultrasound Guided Supraclavicular and Infraclavicular Subclavian vs Catheterization in Pediatric

NCT ID: NCT06575491

Last Updated: 2024-08-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-06-01

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Ultrasound Guided Supraclavicular Infraclavicular Subclavian Venous Catheterization Pediatric

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Supraclavicular group

Patients submitted to Supraclavicular approach for ultrasound-guided Subclavian veinous catheterization.

Group Type EXPERIMENTAL

Ultrasound-guided supraclavicular approach

Intervention Type DEVICE

Patients submitted to Supraclavicular approach for ultrasound-guided Subclavian veinous catheterization.

Infraclavicular group

Patients submitted to Infraclavicular approach for ultrasound-guided Subclavian veinous catheterization.

Group Type EXPERIMENTAL

Ultrasound-guided infraclavicular approach

Intervention Type DEVICE

Patients submitted to Infraclavicular approach for ultrasound-guided Subclavian veinous catheterization.

Interventions

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Ultrasound-guided supraclavicular approach

Patients submitted to Supraclavicular approach for ultrasound-guided Subclavian veinous catheterization.

Intervention Type DEVICE

Ultrasound-guided infraclavicular approach

Patients submitted to Infraclavicular approach for ultrasound-guided Subclavian veinous catheterization.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Aged from 4 to 12 years.
* Both sexes.
* All children who need central venous line insertion.
* Intra-operative Hemodynamic monitoring.
* Volume and Inotrope Resuscitation.
* Difficult Peripheral IV Access.
* Intravenous Nutrition and Medications.

Exclusion Criteria

* Coagulopathy.
* Distorted anatomy.
* Infection systemic or cutaneous near the proposed Point of insertion.
* Skeletal deformity.
* History of previous neck surgery.
* Head and neck mass.
* Guardian Refusal.
* Pneumothorax Or Hemothorax.
Minimum Eligible Age

4 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role lead

Responsible Party

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Radi Mohamed Radi Mostafa

Resident of Anesthesiology, Surgical Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Al-Azhar University

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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0377/2023

Identifier Type: -

Identifier Source: org_study_id

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