Assessing the Interest of Ultrasound-guided Femoral Arterial Puncture for Interventional Neuro-radiology in Children
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Retrograde Femoral Catheterism
- Sponsor
- Fondation Ophtalmologique Adolphe de Rothschild
- Enrollment
- 149
- Locations
- 1
- Primary Endpoint
- Demonstrate that ultrasound guidance improves the success rate at the 1st attempt
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
Using ultrasound to guide vascular catheterism in children is highly recommended for central venous access. It has been proven that central venous line is inserted faster, with fewer attempts and complications. Its interest in central arterial line insertion is less obvious. It seems to have benefits in adults, both for radial and femoral arterial insertion. But there is no study assessing the interest of ultrasound guided arterial puncture in children,.
Detailed Description
The use of ultrasound to guide vascular catheterization in children is strongly recommended for central venous vascular access by several international learned societies. In fact, studies have found a reduction in the time it takes to install the central venous line, in the number of attempts and in complications.The benefit of ultrasound to guide catheterization of the arterial network is less documented. In children, there is an inventory of the traditional approach guided by palpation, in children in intensive care (11). The analysis of 77 femoral puncture attempts in 74 children was carried out. Arterial cannulation was successful in 73 of 77 cases (95%), but only in 60% of cases at the first attempt. Ultrasound guidance appears beneficial in adults for both arterial sites, radial and femoral. On the other hand, in children, unlike radial catheterization, there is no study evaluating the contribution of ultrasound guidance for femoral catheterization.
Investigators
Eligibility Criteria
Inclusion Criteria
- •requirement of retrograde femoral arterial catheterism
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Demonstrate that ultrasound guidance improves the success rate at the 1st attempt
Time Frame: immediate
The success rate of catheterisation in the 1st trial will be analysed as the main criterion and compared between the two groups.