U/S Guided vs. Traditional Palpation for Radial Artery Cannulation

Mahidol University

Status: Completed

Conditions: Critical Illness

Treatments: Procedure: Ultrasound; Procedure: traditional method

Study type: Interventional

Funder types: Other

Identifiers

NCT02668471

ID-09-58-14

Details and patient eligibility

About

The purpose of this study is to compare the efficacy of ultrasound- guided with the traditional palpation radial artery cannulation in critically ill children.

Full 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.

Enrollment: 84 patients

Sex: All

Ages: 1 month to 18 years old

Volunteers: No 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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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84 participants in 2 patient groups

Ultrasound guided

Experimental group

Description:

Radial artery catheters will be placed with the assistance of bedside ultrasound.

Treatment:

Procedure: Ultrasound

traditional method

Active Comparator group

Description:

Radial artery catheters will be placed by the palpation technique only.

Treatment:

Procedure: traditional method