Arterial Catheterization by Ultrasound

Not Applicable

• Conditions: Intensive Care Unit; Ultrasound Therapy; Complications
• Interventions: Procedure: Laying a radial or femoral arterial catheter

• Registration Number: NCT03144895
• Lead Sponsor: Centre Hospitalier Universitaire, Amiens

Brief Summary

Monitoring of invasive blood pressure and / or cardiac output of resuscitation patients is required and recommended

Detailed Description

Monitoring of invasive blood pressure and / or cardiac output of resuscitation patients is required and recommended. The installation of an arterial catheter in intensive care is very frequent and subject to many complications. These complications are now well recognized in the literature, they are mainly vascular, infectious and thrombotic. They are directly influenced by the number of attempts to puncture and the time taken to perform the gesture. Many measures are taken to reduce the impact such as the choice of the site of installation, the strict aseptic techniques during the installation and the type of catheter used. However, despite these measures, it appears that the incidence of these complications remains high. Compared to anatomical marking, only the technique of laying the ultrasound-guided catheter has shown its effectiveness in reducing these complications. The management in intensive care of increasingly complicated, severe, elderly patients with significant comorbidities increases from year to year. To the knowledge of the investigator, there is no study on the impact of ultrasound arterial catheterization in patients in resuscitation.

Study Timeline

• Study Start: 2017-03-29
• Study First Submitted: 2017-05-02
• Study First Submitted QC: 2017-05-04
• Study First Posted: 2017-05-09
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-02
• Last Update Posted: 2018-08-03
• Primary Completion: 2020-03-28
• Study Completion: 2020-03-28

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 380

Inclusion Criteria

• Age over 18 years;
• Hospitalization in resuscitation;
• Necessity of installation of an arterial catheter
• Signed informed consent.
• Affiliation to a social security scheme

Exclusion Criteria

• Patient under tutorship or curatorship
• Minor Patient

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Arterial catheter	Laying a radial or femoral arterial catheter	by anatomical placement alone
Placement	Laying a radial or femoral arterial catheter	of an arterial catheter by ultrasound tracking

Primary Outcome Measures

Name	Time	Method
Success rate of arterial or femoral catheter placement	1 day	at the first attempted puncture (with only one puncture point on the skin).

Trial Locations

Locations (1)

CHU Amiens Picardie; 🇫🇷 Amiens, Picardie, France