Pediatric Radial Arterial Cannulation

Not Applicable

Completed

• Conditions: Anesthesia
• Interventions: Procedure: Ultrasound; Procedure: Doppler

• Registration Number: NCT01276158
• Lead Sponsor: University of Iowa

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.

Study Timeline

• Study First Submitted: 2011-01-11
• Study First Submitted QC: 2011-01-11
• Study First Posted: 2011-01-13
• Study Start: 2011-05
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Status Verified: 2017-03
• Last Update Submitted: 2017-03-09
• Last Update Posted: 2017-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 104

Inclusion Criteria

• Inclusion criteria

  1. Pediatric patient undergoing scheduled major surgery which require continuous arterial pressure monitoring
  2. Term neonates and children < 4 years old weighing >/= 3 kg and < 12 kg

Exclusion Criteria

• Exclusion criteria

  1. Patients with a skin wound or infection around puncture site
  2. Abnormal circulation in the hand (known vascular compromise, mottling, cool skin temp relative to other hand, poor capillary refill)
  3. Recent radial arterial puncture (less than 1 month)
  4. Any emergency surgery or profound hemodynamic instability requiring urgent arterial cannulation.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Ultrasound	Ultrasound	Arterial line placed with Ultrasound guidance.
Doppler	Doppler	Arterial line placed with doppler guidance

Primary Outcome Measures

Name	Time	Method
The primary object is to compare the first attempt success rate between each group.	10 minutes

Secondary Outcome Measures

Name	Time	Method
As a secondary object, a comparison will be made between groups for overall Success rate within a 10 minute time period.	10 minutes

Trial Locations

Locations (1)

University of Iowa Hospitals and Clinics; 🇺🇸 Iowa City, Iowa, United States