Evaluation of Ultrasound Guided Supraclavicular and Infraclavicular Subclavian Venous Catheterization in Pediatrics: A Comparative Approach | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 2, February 2025, Page 282-288 PDF (495.35 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2025.446453 | ||||
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| Authors | ||||
Saad-Elden Mahmoud Abdelrahman Al-Khatib; Ismail Mohamed Abd-El Gawad Ahmed ; Radi Mohamed Radi Mostafa*
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| Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: For kids of all ages, the insertion of a central venous catheter (CVC) ranks high among the most crucial invasive operations performed in the OR and ICU. In addition, the results of health care are highly dependent on how well it is put into practice. The pros and cons of each of the several central venous catheterization techniques that have been developed throughout the years have been extensively debated. Aim and objectives: In order to achieve clinical practice of quick, precise CVC insertion with fewer problems, we compared ultrasound-guided supraclavicular (SC) and infraclavicular (IC) methods for subclavian venous catheterization in pediatric patients. Subjects and methods: Fifty patients participated in this prospective, randomized, single-blind clinical trial that took place in the operating room and pediatric intensive care unit (PICU) of Al-Azhar University Hospitals. Results: Regarding pneumothorax and hematoma, there was no statistically significant distinction among the groups that were evaluated. First attempt success rate, number of attempts, quality of needle visualization, and time(s) spent inserting the catheter were not significantly different between the groups. However, puncture time(s), total access time(s), guidewire misplacement, and length(cm) of catheter insertion were significantly different. Conclusion: When compared to the IC method, SCV catheterization in paediatric patients reduced guidewire misplacement and puncture time. | ||||
| Keywords | ||||
| Pediatrics; Ultrasound; Central venous catheter(CVC); subclavian vein(SCV) | ||||
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