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IRCT138810142954N2 IRCT 2011-04-20 Chancellor for research of Shahroud University of Medical Sciences and Health comparison of subclavian and jugular vein catheters Side effects A Clinical trial for comparison between side effects of subclavian and jugular vein catheters in hemodialysis patients of hemodialysis ward of Immam Hossein hospital on first half of 2011 2011-03-21 anticipated 180 Complete https://irct.ir/trial/2837 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Diagnostic. 2-3 Evaluation of side effects of subclavian and jugullar vein cateters. Intervention 1: Intervention group :Subclavian cathater prepare with estandard(ACS ) method.Our needle(N.22 ) is induced 2 cm below the mid clavicular line toward the supra sternal notch.We push the needle with suction and after aspiration of venous blood, put the guide wire and the fix the cathater. Intervention 2: Control group :Jugullar cathater prepare with standard (ACS )method.We put the needle (N.22 )just at the top of the triangular of SCM muscles head that stuck to clavicale and them push it with suction and immediately after aspiration of venous blood .We put the guide wire and fix the cathater. http://knh.shmu.ac.ir/index.php/site/article/view/393 Abstract:<br /> Introduction: To use the large vessels of the body, the subclavian and jugular veins had the most applications and they are used in most cases. Since the advantages and disadvantages of each of these two catheterization methods are unknown, this study evaluated the effects of subclavian and jugular catheterization procedures among dialysis patients to determine the best method.<br /> Methods: This study was a randomized clinical trial performed on all dialysis patients requiring venous catheter that referred to Imam Hossain hospital in the first half of the 2011 and approved participation in the project. In this study, patients were divided randomly into two groups of intervention (jugular catheter) and control (subclavian catheter), and after primary activities, in the operating room, venous catheter was placed for them by using the standard procedure. The shunt complications such as infection, heamothorax, and pneumothorax were investigated 1, 6, 12, 24 and 48 hours after surgery. In this study patients were divided into two groups,intervention group (52.9%) and control group (47.9%).<br /> Results: The average incidence of infection in intervention group was 6.9 ± 5.3 and in control group was 7.3 ± 6.1, and they were not significantly different. The average incidence of heamothorax in control group 6.4 ± 4.1 was significantly higher than intervention group 4.2 ± 2.5 (P
public Dr.Mohammad Bagher Sohrabi
Education ward of Immam Hossein hospital of Shahroud, The end of street of Shahroud
Shahroud Iran (Islamic Republic of) 3616911151 +98 27 3334 2000 mb.sohrabi@shmu.ac.ir ; mb.sohrabi@yahoo.com Shahroud University of Medical Sciences and Health scientific Dr.Mohammad Reza Abdoulhosseini
Surgery ward of Immam Hossein hospital , The end Imam street of Shahroud
Shahroud Iran (Islamic Republic of) 3616911151 +98 27 3334 2000 mra_75@yahoo.com Shahroud University of Medical Sciences and Helth Iran (Islamic Republic of) Inclusion criteria :All hemodialysis patients that need venous catheter with out anesthesia contraindication. Exclusion criteria :The patients with anesthesia contraindication. no limit no limit Both S25.1 Injury of innominate or subclavian artery Treatment - Surgery Treatment - Surgery Intervention group :Subclavian cathater prepare with estandard(ACS ) method.Our needle(N.22 ) is induced 2 cm below the mid clavicular line toward the supra sternal notch.We push the needle with suction and after aspiration of venous blood, put the guide wire and the fix the cathater. Control group :Jugullar cathater prepare with standard (ACS )method.We put the needle (N.22 )just at the top of the triangular of SCM muscles head that stuck to clavicale and them push it with suction and immediately after aspiration of venous blood .We put the guide wire and fix the cathater. Evaluation of infection. Timepoint: First day,third days and one week , two week and three week after surgery. Method of measurement: Patient examination. Evaluation of hemothorax. Timepoint: First and 6 hours and after day after surgery. Method of measurement: Patient examination. Evaluation of pnumothorax. Timepoint: First and 6 hours and after day after surgery. Method of measurement: Patient examination. Evaluation of ferequency surgery. Timepoint: Priod time of surgery. Method of measurement: Time measurement at surgery. Permanent priod of subclavian and jugullar cataters. Timepoint: Befor intervention , 2 months, 4 months and 6 months after surgery. Method of measurement: Patient examination. Chancellor for research of Shahroud University of Medical Sciences and Health Approved 2011-02-05 Ethics committee of Shahroud University of Medical Sciences and Health 7 Tir SQ of Shahroud .Chancellor for research of Shahroud University of Medical Sciences and Health of Shahroud Shahroud Iran (Islamic Republic of)