Comparative study between open and ultrasound-guided central venous access devices

Background and aims Pediatric populations represented a challenge for insertion of central venous access devices (CVADs). Ultrasound guidance seems to provide advantages over the open surgical method. However, there are no enough data to advocate this notion. An additional goal was to compare betwee...

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Main Authors: Sayed A Elhady, Elsayed M Abd El-Hamid
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Al-Azhar Assiut Medical Journal
Subjects:
Online Access:http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2020;volume=18;issue=1;spage=46;epage=51;aulast=Elhady
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author Sayed A Elhady
Elsayed M Abd El-Hamid
author_facet Sayed A Elhady
Elsayed M Abd El-Hamid
author_sort Sayed A Elhady
collection DOAJ
description Background and aims Pediatric populations represented a challenge for insertion of central venous access devices (CVADs). Ultrasound guidance seems to provide advantages over the open surgical method. However, there are no enough data to advocate this notion. An additional goal was to compare between ultrasound-guided and open surgical venous cut down for central venous catheter (CVC) placement. Patients and methods The study included 40 patients, divided into two equal groups: group A (open CVAD group) and group B (ultrasound-guided CVAD group). For each group, patient data, procedure success rate, time of the procedure, and any complications were documented and compared in both groups. Results Both groups were comparable regarding patient age, sex, cauterized vein, indication for CVC insertion, success rate, first-attempt success, number of attempts, and complications. Conclusion Ultrasound guidance was confirmed to be effective and safe as an open method for insertion of CVC insertion with preservation of the vein intact.
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spelling doaj.art-044102fa4d63486ebf68238fbe7efc672022-12-21T23:47:12ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932020-01-01181465110.4103/AZMJ.AZMJ_79_19Comparative study between open and ultrasound-guided central venous access devicesSayed A ElhadyElsayed M Abd El-HamidBackground and aims Pediatric populations represented a challenge for insertion of central venous access devices (CVADs). Ultrasound guidance seems to provide advantages over the open surgical method. However, there are no enough data to advocate this notion. An additional goal was to compare between ultrasound-guided and open surgical venous cut down for central venous catheter (CVC) placement. Patients and methods The study included 40 patients, divided into two equal groups: group A (open CVAD group) and group B (ultrasound-guided CVAD group). For each group, patient data, procedure success rate, time of the procedure, and any complications were documented and compared in both groups. Results Both groups were comparable regarding patient age, sex, cauterized vein, indication for CVC insertion, success rate, first-attempt success, number of attempts, and complications. Conclusion Ultrasound guidance was confirmed to be effective and safe as an open method for insertion of CVC insertion with preservation of the vein intact.http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2020;volume=18;issue=1;spage=46;epage=51;aulast=Elhadycentral venous catheteropen surgerypediatricsultrasound
spellingShingle Sayed A Elhady
Elsayed M Abd El-Hamid
Comparative study between open and ultrasound-guided central venous access devices
Al-Azhar Assiut Medical Journal
central venous catheter
open surgery
pediatrics
ultrasound
title Comparative study between open and ultrasound-guided central venous access devices
title_full Comparative study between open and ultrasound-guided central venous access devices
title_fullStr Comparative study between open and ultrasound-guided central venous access devices
title_full_unstemmed Comparative study between open and ultrasound-guided central venous access devices
title_short Comparative study between open and ultrasound-guided central venous access devices
title_sort comparative study between open and ultrasound guided central venous access devices
topic central venous catheter
open surgery
pediatrics
ultrasound
url http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2020;volume=18;issue=1;spage=46;epage=51;aulast=Elhady
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