The Usefulness of Ultrasound Guided Technique Insertion of Radial Artery Catheter in Neonates and Infants

Samsung Medical Center

Status: Completed

Conditions: Catheterization, Peripheral

Treatments: Procedure: Radial arterial cannulation

Study type: Interventional

Funder types: Other

Identifiers

NCT02795468

2016-03-128-001

Details and patient eligibility

About

The investigators are trying to compare the ultrasound-guided technique vs. palpation method for radial arterial cannulation in infants.

Full description

In infants (<12mo), radial arterial catheterization is sometimes difficult to perform. Moreover, repeated attempts itself would cause the arterial spasm or hematoma. The use of ultrasound as an adjunct to radial arterial cannulation has considered to be the best practice in adults and pediatrics. However, its usefulness or superiority for neonates and infants is not known. Therefore, we would compare ultrasound guided radial arterial cannulation with the usual palpation methods in infants undergoing cardiac surgery.

Enrollment: 86 patients

Sex: All

Ages: 1 day to 12 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Infants under 12 months age undergoing cardiac surgery with radial arterial cannulation

Exclusion criteria

• Sign of a skin infection
• Wound near the puncture site
• abnormal circulation of the hand
• any vascular problem at radial or ulnar artery

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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86 participants in 2 patient groups

Palpation group

Active Comparator group

Description:

The operator will use the pulsation of the radial artery as a guide for the cannulation.

Treatment:

Procedure: Radial arterial cannulation

Ultrasound group

Experimental group

Description:

The ultrasound guided technique will be used to find a radial artery and insert a radial arterial catheter.

Treatment:

Procedure: Radial arterial cannulation