Comparison of Proximal and Distal Cannulation of the Radial Artery by Ultrasonography in Pediatric Patients Undergoing Elective Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Success rate
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 pediatric patients 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. The first group will be the patients who will be cannulated at the level of the distal radius (styloid process). For the second group, proximal radial artery cannulation will be performed proximally from the styloid process by measuring 1 cm in patients under 20 kg, 2 cm between 20-30 kg, 3 cm between 30-40 kg, 4 cm between 40-50 kg, and 5 cm in patients over 50 kg. 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
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 4 Years 至 14 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •PEDIATRIC patients undergoing elective surgery
- •ASA I-III physical status
排除标准
- •Refusal to participate in the study
- •Those with peripheral vascular disease
- •Vasopressor drug users
- •Infection or anatomical defects at the site of the procedure
- •Patients with coagulation disorders
研究组 & 干预措施
Group P
Radial arterial cannulation from the proximal part of the artery.
Group D
Radial arterial cannulation from the distal part of the artery.
结局指标
主要结局
Success rate
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
Ruslan Abdullayev
Assoc. Prof.
Marmara University
