Ultrasound-image Versus Doppler-guided Radial Artery Cannulation in Infants and Small Children
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- University of Iowa
- Enrollment
- 104
- Locations
- 1
- Primary Endpoint
- The primary object is to compare the first attempt success rate between each group.
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This prospective randomized study was designed to compare ultrasound guided technique with Doppler assisted technique for radial arterial cannulation in infant and small children.
Detailed Description
In infants, percutaneous cannulation of radial artery requires considerable expertise. People have been using Doppler guided radial artery cannulation technique to improve success rate for more than 20 years. Recently, Ultrasound sonography has been utilized for central line placement in pediatrics. The purpose of this study is whether ultrasound guided radial artery cannulation technique improves the success rate compared to traditional doppler guided technique.
Investigators
Kenichi Ueda
Clinical Associate Professor
University of Iowa
Eligibility Criteria
Inclusion Criteria
- •Inclusion criteria
- •Pediatric patient undergoing scheduled major surgery which require continuous arterial pressure monitoring
- •Term neonates and children \< 4 years old weighing \>/= 3 kg and \< 12 kg
Exclusion Criteria
- •Exclusion criteria
- •Patients with a skin wound or infection around puncture site
- •Abnormal circulation in the hand (known vascular compromise, mottling, cool skin temp relative to other hand, poor capillary refill)
- •Recent radial arterial puncture (less than 1 month)
- •Any emergency surgery or profound hemodynamic instability requiring urgent arterial cannulation.
Outcomes
Primary Outcomes
The primary object is to compare the first attempt success rate between each group.
Time Frame: 10 minutes
Secondary Outcomes
- As a secondary object, a comparison will be made between groups for overall Success rate within a 10 minute time period.(10 minutes)