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U/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
Ramathibodi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Critical Illness

Eligibility Criteria

1 Month - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

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

First Posted
January 22, 2016
Last Updated
April 25, 2017
Sponsor
Ramathibodi Hospital
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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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