Back to resultsU/S Guided vs. Traditional Palpation for Radial Artery Cannulation
Primary Purpose
Critical Illness
Status
Completed
Phase
Not Applicable
Locations
Thailand
Study Type
Interventional
Intervention
Ultrasound
traditional method
Sponsored by
About this trial
This is an interventional supportive care trial for Critical Illness
Eligibility Criteria
Inclusion Criteria:
- Pediatric patients who required radial artery cannulation for hemodynamic monitoring or frequent blood samples in intensive care unit
Exclusion Criteria:
- Wound at area of cannulation
- Can not palpate or weak radial artery pulse
Sites / Locations
- Department of Pediatric,Ramathibodi Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Ultrasound guided
traditional method
Arm Description
Radial artery catheters will be placed with the assistance of bedside ultrasound.
Radial artery catheters will be placed by the palpation technique only.
Outcomes
Primary Outcome Measures
first attempt success rate of radial artery catheter insertion
Secondary Outcome Measures
time to success of radial artery catheter insertion
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02668471
Brief Title
U/S Guided vs. Traditional Palpation for Radial Artery Cannulation
Official Title
Ultrasound-guided Compared With Traditional Palpation Radial Artery Cannulation in Critically Ill Children
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
August 2015 (undefined)
Primary Completion Date
August 30, 2016 (Actual)
Study Completion Date
August 30, 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ramathibodi Hospital
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to compare the efficacy of ultrasound- guided with the traditional palpation radial artery cannulation in critically ill children.
Detailed Description
Arterial catheterization is often performed in critically ill patients for continuous hemodynamic monitoring and blood sampling. However, insertion of radial artery catheter with traditional palpation may be technically challenging, particularly in pediatric patients. There are few published studies on the use of ultrasound guidance for radial-artery catheter placement and mostly they were elective surgery children which received inhalation or deep sedative medication. Recently no setting published in pediatric intensive care unit.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Critical Illness
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
84 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Ultrasound guided
Arm Type
Experimental
Arm Description
Radial artery catheters will be placed with the assistance of bedside ultrasound.
Arm Title
traditional method
Arm Type
Active Comparator
Arm Description
Radial artery catheters will be placed by the palpation technique only.
Intervention Type
Procedure
Intervention Name(s)
Ultrasound
Intervention Description
ultrasound at radial site and measure the size and depth of radial artery and perform radial artery cannulation
Intervention Type
Procedure
Intervention Name(s)
traditional method
Intervention Description
Radial artery catheters will be placed by the palpation technique only.
Primary Outcome Measure Information:
Title
first attempt success rate of radial artery catheter insertion
Time Frame
5 minute
Secondary Outcome Measure Information:
Title
time to success of radial artery catheter insertion
Time Frame
15 minute
10. Eligibility
Sex
All
Minimum Age & Unit of Time
1 Month
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Pediatric patients who required radial artery cannulation for hemodynamic monitoring or frequent blood samples in intensive care unit
Exclusion Criteria:
Wound at area of cannulation
Can not palpate or weak radial artery pulse
Facility Information:
Facility Name
Department of Pediatric,Ramathibodi Hospital
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Citations:
PubMed Identifier
33097369
Citation
Huang HP, Zhao WJ, Wen F, Li XY. Application of ultrasound-guided radial artery cannulation in paediatric patients: A systematic review and meta-analysis. Aust Crit Care. 2021 Jul;34(4):388-394. doi: 10.1016/j.aucc.2020.09.001. Epub 2020 Oct 21.
Results Reference
derived
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U/S Guided vs. Traditional Palpation for Radial Artery Cannulation
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