So much university
Mohamed Mahmoud Salah Eldin Amin
The aim of this study was to compare the three approaches: open technique, modified Seldinger's technique and closed ultrasound-guided Central venous catheterization insertion for central line insertion in infancy as regards safety, success of cannulation, technique time, and preservation of the patency of the internal jugular vein.
Infants
Intensive Care Unit
Central Venous Catheterization
Open surgical cut down technique
Modified Seldinger's technique
Closed Ultrasound guided CVC insertion
NA
Central venous catheterization is an essential technique in the intensive care units , for the administration of life-saving treatments including total parenteral nutrition, nutritional support, and intravenous medication. The internal jugular vein is often chosen because of its relatively larger size than the subclavian vein, lower risk of complications, and easy compressibility in case of bleeding. To facilitate Central venous catheterization, ultrasound guidance over anatomical guidance in closed techniques has been introduced bringing increased success rates, decreased catheterization times, and reduced complications. Open surgical insertion is a common method of tunneled catheter implantation in the past, but the percutaneous approach has recently gained more popularity . The modified Seldinger's insertion technique is a catheter over guide wire technique, based on the original Seldinger's technique, and has not been widely adopted in Intensive care units. However, the modified Seldinger's technique has been successfully introduced into Intensive care units, and it is now used as the only technique for peripherally inserted central venous catheter insertion . Central venous catheterization have become a mandatory part of clinical management in a variety of clinical circumstances in pediatric age groups. It allows resuscitation for intravascular fluid depletion and access for vasoactive medications and antibiotics, and it provides a means for hemodynamic monitoring and pacing. US guided closed technique is the updated use for insertion of IJV catheterization because it can both increase the success rate and decrease the complications related to Central venous catheterization placement
| Study Type : | INTERVENTIONAL |
| Estimated Enrollment : | 35 participants |
| Masking : | NONE |
| Primary Purpose : | PREVENTION |
| Official Title : | Comparing Open Surgical, Modified Seldinger's and Ultrasound Guided Techniques for Jugular Central Line Insertion in Infants |
| Actual Study Start Date : | 2025-08-21 |
| Estimated Primary Completion Date : | 2025-08-21 |
| Estimated Study Completion Date : | 2025-08-21 |
Information not available for Arms and Intervention/treatment
| Ages Eligible for Study: | 1 Hour to 18 Months |
| Sexes Eligible for Study: | ALL |
| Accepts Healthy Volunteers: |
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So much university
So much, Egypt, 31527