The Usefulness of Ultrasound Guided Technique Insertion of Radial Artery Catheter in Neonates and Infants
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Samsung Medical Center
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- First-pass success rate
Study Overview
Brief Summary
The investigators are trying to compare the ultrasound-guided technique vs. palpation method for radial arterial cannulation in infants.
Detailed 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 1 Day to 12 Months (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Palpation group
The operator will use the pulsation of the radial artery as a guide for the cannulation.
Intervention: Radial arterial cannulation (Procedure)
Ultrasound group
The ultrasound guided technique will be used to find a radial artery and insert a radial arterial catheter.
Intervention: Radial arterial cannulation (Procedure)
Outcomes
Primary Outcomes
First-pass success rate
Time Frame: Within 10 min from the start time of arterial cannulation using an angiocath
Secondary Outcomes
No secondary outcomes reported
Investigators
Jong Hwan Lee
Associate Professor
Samsung Medical Center