Radial Artery Catheterization Clinical Trial
Official title:
Comparison of the Modified Approach and Conventional Approach of Radial Artery Cannulation Under Short-axis Ultrasound Guidance in Intensive Care Unit(ICU) Hypotensive Patients: a Randomized Controlled Study.
NCT number | NCT04806932 |
Other study ID # | MARS |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | April 11, 2021 |
Est. completion date | February 28, 2024 |
Radial artery cannulation can be performed under short-axis ultrasound guidance. However, the first puncture success rate was low in patients with hypotensive patients. Compared with the conventional approach, the modified approach combined the ultrasonic location system with a dynamic needle tip positioning technique. The aim of our study is to compare the first puncture success rate and safety between the two approaches of ultrasound-guided radial artery cannulation in hypotensive ICU patients.
Status | Recruiting |
Enrollment | 102 |
Est. completion date | February 28, 2024 |
Est. primary completion date | February 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 100 Years |
Eligibility | Inclusion Criteria: - Patients in intensive care units; - The need for invasive hemodynamic monitoring (arterial blood pressure and cardiac output monitoring); - The need for frequent blood sampling (arterial blood gas analysis and general laboratory evaluation); - Vasopressor therapy; Exclusion Criteria: - a negative Allen test; - ulnar artery occlusion; - prevalent atherosclerosis; - a blocked or embolized target vessel determined by ultrasound assessment; - Raynaud disease; - infection near the radial artery puncture site; |
Country | Name | City | State |
---|---|---|---|
China | Shanghai Zhongshan Hospital | Shanghai | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Shanghai Zhongshan Hospital | Yangpu District Central Hospital Affiliated to Tongji University |
China,
Clemmesen L, Knudsen L, Sloth E, Bendtsen T. Dynamic needle tip positioning - ultrasound guidance for peripheral vascular access. A randomized, controlled and blinded study in phantoms performed by ultrasound novices. Ultraschall Med. 2012 Dec;33(7):E321-E325. doi: 10.1055/s-0032-1312824. Epub 2012 Oct 11. — View Citation
Liu L, Tan Y, Li S, Tian J. "Modified Dynamic Needle Tip Positioning" Short-Axis, Out-of-Plane, Ultrasound-Guided Radial Artery Cannulation in Neonates: A Randomized Controlled Trial. Anesth Analg. 2019 Jul;129(1):178-183. doi: 10.1213/ANE.0000000000003445. — View Citation
Quan Z, Tian M, Chi P, Cao Y, Li X, Peng K. Modified short-axis out-of-plane ultrasound versus conventional long-axis in-plane ultrasound to guide radial artery cannulation: a randomized controlled trial. Anesth Analg. 2014 Jul;119(1):163-9. doi: 10.1213/ANE.0000000000000242. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | First-pass success | successful catheterization on the first attempt | approximately 3 minutes | |
Secondary | Overall success | successful catheterization without a limit on the number of punctures. | within 10 minutes | |
Secondary | The cannulation time | the interval between skin contact with the probe and confirmation of the arterial waveform on the monitor. | within 10 minutes | |
Secondary | Posterior wall puncture | the operator saw the needle passing the posterior wall or blood backflow appeared then disappeared while needle advancing. | within 10 minutes | |
Secondary | the number of attempts | the number of attempts until successful cannulation | within 10 minutes | |
Secondary | Complication rate | bleeding, hematoma,thrombosis, vasospasm, occlusion, aneurysm | Day 1 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03920423 -
Impact Factors to Success Without Posterior Wall Puncture Using Dynamic Approach
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N/A |