Occurrence of Radial Artery Stenosis Following PICCO Catheter Cannulation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 37
- 试验地点
- 2
- 主要终点
- Number of patients with artery stenosis after radial artery decannulation, confirmed by Doppler ultrasonography
研究概览
简要总结
Cardiac output monitoring devices are commonly used in ICU patients. The most precise use direct measurement, which require artery cannulation. The gold standard is Swan-Ganz catheter, but it is a very invasive technique. PiCCO (Pulse index Continuous Cardiac Output) is the alternative way of haemodynamic monitoring. This technology is the easy, less invasive and cost-efficient tool for determining the main hemodynamic parameters of critically ill patients. It is based on two physical principles - transpulmonary thermodilution and pulse contour analysis. Both principles allow the calculation of haemodynamic parameters in critically ill patients. PiCCO method requires peripheral artery cannulation.
Cannulation may be followed by artery stenosis.
Aims of the study are:
- to verify the occurrence of radial artery stenosis after 3 days of having a PiCCO cannula in place.
- whether 5 days cannulation of radial artery with PiCCO catheter is related to more frequent stenosis rate.
An additional assessment:
- to check whether the eventual stenosis is still present after 3, 14 and 30 days after decannulation - assessment depending on patients availability
详细描述
Barbeau test and Doppler - ultrasonography preceded radial artery cannulation. Catheter removal (after 3 or 5 days of cannulation) is followed by Doppler - usg. Usg -Doppler is performed also 3, 14 and 30 days after decannulation - depending on patient being available
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •critically ill patients with haemodynamic monitoring required
排除标准
- •Barbeau test type D in radial artery
- •artery inaccessible for cannulation - based on doppler ultrasonography
结局指标
主要结局
Number of patients with artery stenosis after radial artery decannulation, confirmed by Doppler ultrasonography
时间窗: up to 5 days after cannulation
in one group usg, following decannulation will be performed 3 days after cannulation, in the second group - decannulation and usg will be done 5 days after cannulation.
次要结局
- Number of patients with persistent artery stenosis after radial artery decannulation, confirmed by Doppler ultrasonography(3, 14 and 30 days after decannulation)
研究者
Magdalena Wujtewicz
assistant professor
Medical University of Gdansk