Compare performance of radial artery catheterization using three dimensional biplanar ultrasound guidance versus conventional two dimensional US
ID
Source
Brief title
Condition
- Vascular therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
First pass success, that is needle entry in the radial artery within one skin
break and no needle redirection, confirmed by arterial wave pressure form on
the monitor
Secondary outcome
scan time, needling time, procedure time, number of skin punctures, number of
needle redirections, complications including posterior wall puncture, and
hematoma, needle visibility, operator satisfaction
Background summary
Arterial cannulation for continuous invasive blood pressure monitoring and
blood sampling is a standard procedure for patients undergoing major abdominal
or cardiothoracic surgery. Traditionally performed by digital palpation,
ultrasound (US) is increasingly used for this procedure. However, US guidance
marginally increases success rates for this procedure. As US techniques can be
performed in short or long axis, both approaches have their shortcomings. Using
three dimensional biplanar US, both short and long axis views can be displayed
simultaneously. We hypothesize the additional information of the anatomical
site will improve radial artery cannulation success rate.
Study objective
Compare performance of radial artery catheterization using three dimensional
biplanar ultrasound guidance versus conventional two dimensional US
Study design
Before/after
Study burden and risks
Nature and extent of the burden and risks associated with participation,
benefit and group relatedness: Arterial cannulation is a standard procedure
for cardiothoracic surgery, no additional invasive procedures will be
performed. Serious complications of this technique are rare, but local hematoma
does occur more frequently. Also, the success rate despite ultrasound is not
100%, and multiple punctures are related to the more frequent occurrence of
complications. The intervention aims to further optimize this technique and
potentially decrease complications. Based on our own experience, we expect the
new technique to cause less tissue trauma and hematoma. Therefore, patients
participating in this study are not exposed to extra risks other than that of
the conventional radial artery cannulation procedure
Michelangelolaan 2
Eindhoven 5623 EJ
NL
Michelangelolaan 2
Eindhoven 5623 EJ
NL
Listed location countries
Age
Inclusion criteria
- adult patients >18 years
- scheduled for cardiothoracic surgery
- written informed consent
Exclusion criteria
- Emergency surgery
- Unable to obtain informed consent
- Vascular access via alternative approach / anatomical variations hindering
radial artery catheterization
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL78704.100.21 |
| OMON | NL-OMON27798 |