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临床试验/NCT06658873
NCT06658873已完成不适用

Comparison of Proximal and Distal Cannulation of the Radial Artery by Ultrasonography in Adult Patients Undergoing Elective Surgery

Marmara University2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2024年10月25日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
60
试验地点
2
主要终点
Success

研究概览

简要总结

Intraarterial cannulation is important for continuous blood pressure monitoring and blood gas analysis throughout the surgical procedure and in intensive care patients. Ultrasonography (USG) has gained popularity in vascular cannulations and facilitates intraarterial interventions. Radial artery is one of the most preferred arteries. Our aim in this study is to compare proximal and distal radial artery cannulations by USG in terms of procedural success, procedure time and complications.

详细描述

After the patients are admitted to the operating room, routine monitoring (electrocardiography, noninvasive blood pressure and peripheral oxygen saturation) will be performed. After appropriate vascular access is provided to the patients, the induction phase of general anesthesia will begin. Anesthesia induction will be left to the choice of the primary anesthesiologist and no protocol will be followed. In case of >25% drop in blood pressure, 0.1 mcg/kg noradrenaline will be administered intravenously. After the appropriate position is given to the arm of the patient to be treated, radial artery cannulation will be performed with USG obeying asepsis rules. Patients will be divided into 2 groups by closed envelope method. The first group will be the patients who will be cannulated at the level of the distal radius (styloid process) and the second group will be the patients who will be cannulated proximally by measuring 5 cm from the styloid process. Demographic and clinical characteristics of the patients will be recorded. Catheterization success rates, procedure duration, number of interventions, vessel diameter, hematoma at the site of intervention on the 1st postoperative day, circulatory disturbance will be examined.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Other
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Elective surgery
  • American Society of Anaesthesiologists (ASA) physical status I-III

排除标准

  • Emergency surgery
  • ASA IV or above
  • Peripheral vascular disease
  • Vasopressor use
  • Anatomical abnormality at the cannulation site
  • Infection at the cannulation site
  • Coagulation defect

结局指标

主要结局

Success

时间窗: From the preinduction period in the operating theater to the postoperative day one.

Radial artery catheterization success rates will be compared between the groups.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ruslan Abdullayev

Assoc. Prof. Dr.

Marmara University

研究点 (2)

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