Oblique Versus Transverse Orientation Approach for Internal Jugular Venous Cannulation in Pediatrics

Launched by INDONESIA UNIVERSITY · Dec 16, 2022

Keywords

ClinConnect Summary

Sixty patients randomised into two groups, 30 patients in experimental group (oblique orientation) and 30 patients in control group (transverse orientation). All cannulation took place in the operation room. Patients underwent general anesthesia and placed in supine position. Standard monitoring (electrocardiogram, non-invasive arterial pressure, pulseoxymetry) was carried out during the procedure for all patients. Before preparation of the skin, a pre-procedure ultrasound examination was performed to verify internal jugular vein patency, and its diameter was measured. Once the side had bee...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • patients age 3 months to 12 years old, weight 5-20 kg, male or female
• • who undergo heart surgery and indicated to have central venous cannulation
• • American Society of Anesthesiologist Physical Class 1-3
• • Family or representation of the patients agreed to participate in this study and sign informed consent
• Exclusion Criteria:
• • history of surgery in the area of cannulation
• • already placed central venous cannulation \<72 hours in the same venous
• • sign of infection, hematoma, emphysema, in the area of cannulation
• • history of cervical trauma
• • severe hemostatic disorder (International Normalized Ratio\>2, thrombocyte \<50.000, Prothrombin time\>1.5 times, Activated Partial Thromboplastin Time \> 1.5 times

Trial Officials