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The purpose of this study is to compare the differences in central venous catheter insertion time, success rate, and complication between the Seldinger and modified Seldinger technique for ultrasound-guided central venous catheterization in neonates.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Seldinger | Experimental | Use a 23 gauge introducer needle for ultrasound-guided central venous catheterization |
|
| Modified Seldinger | Experimental | Use a 22 gauge Angiocath Plus catheter for ultrasound-guided central venous catheterization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Device | Ultrasound-guided central venous catheterization in internal jugular vein |
|
| Measure | Description | Time Frame |
|---|---|---|
| First successful central venous catheterization rate | Interval between skin penetration of the needle or angiocatheter and installation of the indwelling catheter, an expected average of 3 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first puncture of central vein | Interval between skin penetration of the needle or angiocatheter and flashback of blood, an expected average of 30 seconds | |
| Time to guide wire insertion | Interval between skin penetration and removal of the needle or angiocatheter after guide wire insertion, an expected average of 90 seconds |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jin-Tae Kim | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 110-744 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15121722 | Background | Grebenik CR, Boyce A, Sinclair ME, Evans RD, Mason DG, Martin B. NICE guidelines for central venous catheterization in children. Is the evidence base sufficient? Br J Anaesth. 2004 Jun;92(6):827-30. doi: 10.1093/bja/aeh134. Epub 2004 Apr 30. | |
| 26248059 | Background | Song IK, Lee JH, Kang JE, Oh HW, Kim HS, Park HP, Kim JT. Comparison of central venous catheterization techniques in pediatric patients: needle vs angiocath. Paediatr Anaesth. 2015 Nov;25(11):1120-6. doi: 10.1111/pan.12726. Epub 2015 Aug 6. |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D000758 | Anesthesia |
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| General anesthesia | Other | Scheduled operation under general anesthesia |
|
| Total time to central venous catheterization | Interval between skin penetration of the needle or angiocatheter and installation of the indwelling catheter, an expected average of 3 minutes |
| Number of central vein puncture trial | up to 5 times, an expected average observation time of 30 seconds |
| Number of guide wire insertion trial | up to 5 times, an expected average observation time of 90 seconds |
| First successful central vein puncture rate | Interval between skin penetration of the needle or angiocatheter and flashback of blood, an expected average of 30 seconds |
| First successful guide wire insertion rate | Interval between skin penetration and removal of the needle or angiocatheter after guide wire insertion, an expected average of 90 seconds |
| 30442261 | Derived | Song IK, Kim EH, Lee JH, Jang YE, Kim HS, Kim JT. Seldinger vs modified Seldinger techniques for ultrasound-guided central venous catheterisation in neonates: a randomised controlled trial. Br J Anaesth. 2018 Dec;121(6):1332-1337. doi: 10.1016/j.bja.2018.08.008. Epub 2018 Sep 7. |
| D000760 |
| Anesthesia and Analgesia |