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In pediatric patients under the age of 18 who undergo surgery under general anesthesia, when inserting peripherally inserted central venous catheterization, the group that inserts the catheter with the obturator and the group that inserts the catheter without the obturator is inserted into the appropriate position.
In pediatric patients under the age of 18 who undergo surgery under general anesthesia, when inserting peripherally inserted central venous catheterization, the group that inserts the catheter with the obturator and the group that inserts the catheter without the obturator is inserted into the appropriate position.
There is no study confirming the probability of being placed in the central vein at a time when the catheter is inserted without the obturator, and there is no study comparing the clinical effect by dividing the case with the obturator and the obturator. In children, the blood vessels are small and there is a high probability that they cannot be located in the central vein when the peripheral vein is inserted.
Therefore, when a peripheral implanted central venous tube is inserted into a pediatric patient under general anesthesia under 18 years of age, the probability that the catheter is inserted without using an obturator will be located in the central vein at a time rather than using an obturator to insert the catheter. It could help pediatric patients to manage anesthesia and post-surgical care by reducing potential complications from using obturator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| with obturator | Placebo Comparator | A group using an obturator when performing peripherally inserted central venous catheterization in children under 18 years of age under general anesthesia. |
|
| without obturator | Experimental | A group that does not use an obturator when performing peripherally inserted central venous catheterization in children under 18 years of age under general anesthesia. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| turbo-ject PICC set | Other | The turbo-ject PICC set, which will be used in this study, is the set for peripherally inserted central catheterization. In this study, we will see the difference according to the presence or absence of the hydrophilic coated stiffening obturator included in this turbo-ject PICC set. |
| Measure | Description | Time Frame |
|---|---|---|
| Success rate at one time | Success rate to place into the central vein without additional treatment at one time | confirmation through ultrasound procedure completed |
| Measure | Description | Time Frame |
|---|---|---|
| Number of insertion attempts | Number of insertion attempts to place into the central vein | during procedure |
| Number of additional manipulation | Number of additional manipulation to place into the central vein |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hee-Soo Kim, MD, PhD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | Seoul, South Korea | 03080 | South Korea |
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| during procedure |
| type of additional manipulation | type of additional manipulation to place into the central vein | during procedure |
| the location of catheter in case of the malposition at one time | the location of catheter in case of the malposition at one time | confirmation through ultrasound procedure completed |
| final success rate | final success rate based on confirming in postoperative chest x-ray | procedure |
| final catheter location | final catheter location confirming in postoperative chest X-ray | procedure |
| other complication | other complication such as hematoma, vessel rupture, nonfunction, kinking of catheter | procedure |