Pediatric anesthesia & critical care

An Innovative Method to Prevent Guidewire Access to the Ipsilateral Internal Jugular Vein During Pediatric Subclavian Vein Cannulation

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Temporary pressure at the IJV just above the clavicle to occlude the IJV during placement of the guidewire helps prevent inadvertent placement of the guidewire into the IJV.

Study context

Population
Children undergoing subclavian vein catheterization
Participants
178 children
Comparison
I vs C
  • In = 82
  • Cn = 96reference
Primary endpoint
Incidence of guidewire misplacement into the IJV
Follow-up
First placement
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

P = 0.04

Secondary outcomes

Total time of guidewire placement

P = 0.03

OutcomeCIP value
Total number of guidewires entering the IJV24/967/82P = 0.005

Original publication

An Innovative Method to Prevent Guidewire Access to the Ipsilateral Internal Jugular Vein During Pediatric Subclavian Vein Cannulation. J Cardiothorac Vasc Anesth. Published 25 May 2024. doi:10.1053/j.jvca.2024.05.029

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