Electronic Theses and Dissertation

Pendahuluan: pemasangan central venous catheter (cvc) esensial dalam perawatan intensif namun berisiko menimbulkan komplikasi mekanik. teknik anatomical landmark-guided masih sering digunakan meski bersifat blind technique. sebaliknya, teknik ultrasound-guided menawarkan visualisasi real-time. penelitian ini bertujuan membandingkan efektivitas dan keamanan kedua teknik tersebut di rsud dr. zainoel abidin banda aceh. metode: penelitian ini menggunakan desain randomized controlled trial pada 70 pasien di rsud dr. zainoel abidin banda aceh, yang dibagi secara acak menjadi kelompok ultrasound-guided dan anatomical landmark-guided. outcome utama meliputi jumlah tusukan, durasi prosedur, dan komplikasi mekanik. analisis dilakukan dengan pendekatan bivariat untuk menilai perbedaan antar kelompok. hasil: hasil menunjukkan bahwa kedua kelompok memiliki karakteristik dasar yang homogen (p>0,05), sehingga valid untuk dibandingkan. teknik ultrasound-guided secara signifikan menurunkan jumlah tusukan (1,54 ± 0,70 vs 2,51 ± 0,98; p

Background: Central venous catheter (CVC) insertion is a fundamental procedure in critical care, yet mechanical complications remain a concern. While anatomical landmark-guided techniques are widely practiced, they rely on a blind approach. This study compares the effectiveness and safety of ultrasound-guided versus landmark-guided techniques in a local clinical setting. Methods: A randomized controlled trial was conducted with 70 patients at Dr. Zainoel Abidin General Hospital, Banda Aceh. Subjects were randomly allocated into ultrasound-guided and anatomical landmark-guided groups. Primary outcomes included the number of attempts, procedure duration, and mechanical complications. Results: Baseline characteristics were comparable between groups (p>0.05), The ultrasound-guided technique significantly reduced the mean number of attempts (1.54 ± 0.70 vs 2.51 ± 0.98; p