Arterial Catheterization by Ultrasound (ACTIVE)

Centre Hospitalier Universitaire, Amiens

Status: Unknown

Conditions: Ultrasound Therapy; Complications; Intensive Care Unit

Treatments: Procedure: Laying a radial or femoral arterial catheter

Study type: Interventional

Funder types: Other

Identifiers

NCT03144895

PI2016_843_0014

Details and patient eligibility

About

Monitoring of invasive blood pressure and / or cardiac output of resuscitation patients is required and recommended

Full description

Monitoring of invasive blood pressure and / or cardiac output of resuscitation patients is required and recommended. The installation of an arterial catheter in intensive care is very frequent and subject to many complications. These complications are now well recognized in the literature, they are mainly vascular, infectious and thrombotic. They are directly influenced by the number of attempts to puncture and the time taken to perform the gesture. Many measures are taken to reduce the impact such as the choice of the site of installation, the strict aseptic techniques during the installation and the type of catheter used. However, despite these measures, it appears that the incidence of these complications remains high. Compared to anatomical marking, only the technique of laying the ultrasound-guided catheter has shown its effectiveness in reducing these complications. The management in intensive care of increasingly complicated, severe, elderly patients with significant comorbidities increases from year to year. To the knowledge of the investigator, there is no study on the impact of ultrasound arterial catheterization in patients in resuscitation.

Enrollment: 380 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age over 18 years;
• Hospitalization in resuscitation;
• Necessity of installation of an arterial catheter
• Signed informed consent.
• Affiliation to a social security scheme

Exclusion criteria

• Patient under tutorship or curatorship
• Minor Patient

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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380 participants in 2 patient groups

Arterial catheter

Other group

Description:

by anatomical placement alone

Treatment:

Procedure: Laying a radial or femoral arterial catheter

Placement

Other group

Description:

of an arterial catheter by ultrasound tracking

Treatment:

Procedure: Laying a radial or femoral arterial catheter