Comparison of Short-Axis and Long-Axis Approaches for Ultrasound-Guided Radial Artery Cannulation: The Effect of Radial Artery Depth on Technique Selection-A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 144
- 试验地点
- 2
- 主要终点
- Success Rate of Short-Axis/Out-of-Plane Versus Long-Axis/In-Plane Radial Artery Cannulation
研究概览
简要总结
This randomized controlled study aims to compare short-axis/out-of-plane and long-axis/in-plane ultrasound-guided techniques for radial artery cannulation in adult patients undergoing elective surgery. The study will also investigate whether the depth of the radial artery from the skin is associated with cannulation success and may help guide the selection of the ultrasound-guided cannulation technique.
Participants will be randomly assigned to either the short-axis/out-of-plane group or the long-axis/in-plane group. Radial artery depth will be measured using ultrasound before cannulation. The two techniques will be compared in terms of cannulation success, including first-attempt success, number of punctures and needle redirections, time to successful cannulation, failed cannulation, and procedure-related complications.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •nclusion Criteria:
- •Age 18 years or older Patients with an indication for radial artery cannulation for invasive arterial monitoring Undergoing a surgical or interventional procedure Radial artery suitable for visualization by ultrasound Provision of written informed consent
排除标准
- •Age younger than 18 years Infection, burn, scar, or skin lesion at the planned cannulation site Previous vascular surgery involving the study extremity Advanced peripheral arterial disease or radial artery occlusion Inadequate collateral circulation as assessed by the Allen test or ultrasound Severe coagulopathy Presence of an arteriovenous fistula in the study extremity Severe hemodynamic instability Multiple previous failed radial artery cannulation attempts in the same extremity Pregnancy Allergy to ultrasound gel Refusal to participate in the study
研究组 & 干预措施
Short-Axis/Out-of-Plane Approach
Participants assigned to this group will undergo ultrasound-guided radial artery cannulation using the short-axis/out-of-plane approach.
干预措施: Short-Axis/Out-of-Plane Radial Artery Cannulation (Procedure)
Long-Axis/In-Plane Approach
Participants assigned to this group will undergo ultrasound-guided radial artery cannulation using the long-axis/in-plane approach.
干预措施: Long-Axis/In-Plane Radial Artery Cannulation (Procedure)
结局指标
主要结局
Success Rate of Short-Axis/Out-of-Plane Versus Long-Axis/In-Plane Radial Artery Cannulation
时间窗: During the radial artery cannulation procedure
The success rates of ultrasound-guided radial artery cannulation using the short-axis/out-of-plane and long-axis/in-plane approaches will be compared. Successful cannulation is defined according to the study protocol as successful radial artery catheter placement within the predefined procedural criteria.
次要结局
- First-Attempt Cannulation Success(During the radial artery cannulation procedure)
研究者
Fikret Salık
Dicle University
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital