Ultrasound-Guided Vascular Puncture and Catheterization

Perioperative/Postoperative Complications Clinical Trial

— UGVPC  

Official title:

Ultrasound-Guided Vascular Puncture and Catheterization

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03656978
• Other study ID #: zs-1338
• Status: Completed
• Phase: N/A
• Start date: June 1, 2017
• Est. completion date: March 8, 2019

Study information

• Verified date: September 2020
• Source: Peking Union Medical College Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To assess and improve the safety and success rate of vascular puncture and catheterization using ultrasound-guided methods.

Description:

Investigators hypothesized that （1） various ultrasound-guided methods had different performances of vascular puncture and catheterization, (2) certain risk factors influenced safety and success rate of vascular puncture and catheterization (3) implementation of protocols could improve the performances of ultrasound-guided vascular puncture and catheterization.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 134
• Est. completion date: March 8, 2019
• Est. primary completion date: April 23, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age above 18 years old.

• Scheduled for selective surgery.

• Requirement of perioperative vascular puncture and catheterization.

• American standard of anesthesia level I-IV.

Exclusion Criteria:

• Contraindication to vascular puncture or catheterization.

• Occlusion or thrombosis of target vessel evaluated by ultrasound.

• Refuse or disagreement from participants.

Related Conditions & MeSH terms

• Cardiovascular Abnormalities
• Congenital Abnormalities
• Perioperative/Postoperative Complications
• Postoperative Complications
• Ultrasound Therapy; Complications
• Vascular Access Complication

Intervention

Behavioral:
• dynamic
Use the according methods in dynamic arm descriptions.
• Regular-triangle
Use the according methods in regular-triangle arm descriptions.

Locations

Country	Name	City	State
China	Peking Union Medical College Hospital	Beijing	Beijing

Sponsors (1)

Lead Sponsor	Collaborator
Peking Union Medical College Hospital

Country where clinical trial is conducted

China, 

References & Publications (8)

Fragou M, Gravvanis A, Dimitriou V, Papalois A, Kouraklis G, Karabinis A, Saranteas T, Poularas J, Papanikolaou J, Davlouros P, Labropoulos N, Karakitsos D. Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study. Crit Care Med. 2011 Jul;39(7):1607-12. doi: 10.1097/CCM.0b013e318218a1ae. — View Citation

Gao YB, Yan JH, Ma JM, Liu XN, Dong JY, Sun F, Tang LW, Li J. Effects of long axis in-plane vs short axis out-of-plane techniques during ultrasound-guided vascular access. Am J Emerg Med. 2016 May;34(5):778-83. doi: 10.1016/j.ajem.2015.12.092. Epub 2016 Jan 6. — View Citation

Goh G, Tan C, Weinberg L. Dynamic ultrasound-guided, short axis, out-of-plane radial artery cannulation: the 'follow the tip' technique. Anaesth Intensive Care. 2013 May;41(3):431-2. — View Citation

Nakayama Y, Nakajima Y, Sessler DI, Ishii S, Shibasaki M, Ogawa S, Takeshita J, Shime N, Mizobe T. A novel method for ultrasound-guided radial arterial catheterization in pediatric patients. Anesth Analg. 2014 May;118(5):1019-26. doi: 10.1213/ANE.0000000000000164. — View Citation

Powell JT, Mink JT, Nomura JT, Levine BJ, Jasani N, Nichols WL, Reed J, Sierzenski PR. Ultrasound-guidance can reduce adverse events during femoral central venous cannulation. J Emerg Med. 2014 Apr;46(4):519-24. doi: 10.1016/j.jemermed.2013.08.023. Epub 2014 Jan 22. — View Citation

Reusz G, Csomos A. The role of ultrasound guidance for vascular access. Curr Opin Anaesthesiol. 2015 Dec;28(6):710-6. doi: 10.1097/ACO.0000000000000245. Review. — View Citation

Sethi S, Maitra S, Saini V, Samra T, Malhotra SK. Comparison of short-axis out-of-plane versus long-axis in-plane ultrasound-guided radial arterial cannulation in adult patients: a randomized controlled trial. J Anesth. 2017 Feb;31(1):89-94. doi: 10.1007/s00540-016-2270-6. Epub 2016 Oct 19. — View Citation

Ward F, Faratro R, McQuillan RF. Ultrasound-Guided Cannulation of the Hemodialysis Arteriovenous Access. Semin Dial. 2017 Jul;30(4):319-325. doi: 10.1111/sdi.12603. Epub 2017 May 9. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Successful rate without extra vascular damage	Percentages of successful catheterization without vascular damage of posterior wall.	Through study completion, an average of 1 year.
Secondary	Successful rate at first attempt.	Percentage of successful catheterization at first attempt without needle withdraw.	Through study completion, an average of 1 year.
Secondary	Time duration of catheterization.	From beginning of needle puncture to finishing or failing catheterization.	Through study completion, an average of 1 year.
Secondary	Relative factors of successful catheterization without posterior wall damage.	Relationship between independent variables (gender, age, BMI, BP, depth and so on) and successful catheterization without posterior wall damage.	Through study completion, an average of 1 year.
Secondary	The effect of depth to the successful catheterization without posterior wall puncture.	The relationships between different depth of vascular anterior wall and successful catheterization without posterior wall puncture.	Through study completion, an average of 1 year.