]>
IRCT20190325043107N19 IRCT 2020-11-06 Tabriz University of Medical Sciences Central vein catheter implantation in children A comparison of open vs ultrasound-guided percutaneous insertion of central venous catheter in children weighting five kilograms or less. 2020-11-30 anticipated 100 Complete https://irct.ir/trial/51931 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be divided into two groups by random allocation method. The balanced (permuted) block randomization will be used for random allocation and patients will be divided into two groups of intervention and placebo; Thus, first 6 possible modes of blocks (BAAB, ABBA, BABA, AABB, ABAB, BBAA) were listed and each block was assigned a number from 1 to 0. Then, a number between 1 and 0 was randomly selected and the subjects were assigned to the experimental group (A) and placebo (B) based on the relevant block and the selected number. 2 The rate of infection in pediatric central venous catheter implantation. Intervention 1: Intervention group: Patients will go to the operating room. Using a linear probe , the internal jugular vein is found and then the needle is inserted into the vein. After making sure that the needle is inside the vein and reads it, the guide wire enters the lumen of the left internal jugular vein through the needle. In this case, the presence of a guide wire in the internal jugular vein can also be confirmed by ultrasound. The needle is then removed but the guide wire remains inside the vein. Using a dilator, the path is cannulated through the guide wire. After this step, the dilator is removed and the central vein catheter is inserted into the internal jugular vein through the guide wire. After making sure that the catheter is inside the vein, the guide wire is removed and the catheter will be fixed on the skin using sutures. Intervention 2: Control group: Patients will enter the operating room. A small incision is made in the neck and the internal jugular vein is dissected and controlled, and a separate 5 mm long incision is made in the vein through which the central vein catheter is inserted without the use of a guidewire and under direct view through A venotomy is inserted, then repaired and fixed with an absorbable suture, and then the vein is repaired. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information
public Ibrahim Farhadi
Childrens Hospital, Sheshgelan Ave
Tabriz Iran (Islamic Republic of) 5981764863 +98 41 3334 7054 Khanbabayimehdi69@gmail.com Tabriz University of Medical Sciences scientific Ibrahim Farhadi
Childrens Hospital, Sheshgelan Ave
Tabriz Iran (Islamic Republic of) 5981764863 +98 41 3334 7054 Khanbabayimehdi69@gmail.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Weight less than 5 kg Requires central venous catheter placement First insertion of a central venous catheter Consent to participate in the research project 1 year 3 years Both Patients with hemophilia INR rate greater than 1/5 Platelet count less than 100,000 CPR history History of coagulation disorders T80.21 Infection due to central venous catheter Treatment - Surgery Treatment - Surgery Intervention group: Patients will go to the operating room. Using a linear probe , the internal jugular vein is found and then the needle is inserted into the vein. After making sure that the needle is inside the vein and reads it, the guide wire enters the lumen of the left internal jugular vein through the needle. In this case, the presence of a guide wire in the internal jugular vein can also be confirmed by ultrasound. The needle is then removed but the guide wire remains inside the vein. Using a dilator, the path is cannulated through the guide wire. After this step, the dilator is removed and the central vein catheter is inserted into the internal jugular vein through the guide wire. After making sure that the catheter is inside the vein, the guide wire is removed and the catheter will be fixed on the skin using sutures. Control group: Patients will enter the operating room. A small incision is made in the neck and the internal jugular vein is dissected and controlled, and a separate 5 mm long incision is made in the vein through which the central vein catheter is inserted without the use of a guidewire and under direct view through A venotomy is inserted, then repaired and fixed with an absorbable suture, and then the vein is repaired. The rate of infection in pediatric central venous catheter implantation. Timepoint: Once daily for up to three days after catheter placement. Method of measurement: Clinical examinations. Tabriz University of Medical Sciences Approved 2019-12-23 Ethics committee of Tabriz University of Medical Sciences Children Hospital, Azadi Ave Tabriz East Azarbaijan Iran (Islamic Republic of)