None listed
Conditions
Interventions
Experimental group 1:Video-assisted ultrasound-guided in-plane radial artery cannulation
Experimental group 2:Video-assisted ultrasound-guided out-plane radial artery cannulation
Experimental group 3:Video-assisted ultrasound-guided brachial plexus block
Control group 1:Traditional ultrasound-guided in-plane radial artery cannulation
Control group 2:Traditional ultrasound-guided out-plane radial artery cannulation
Control group 3:Traditional ultrasound-guided brachial plexus block
Sponsors
Department of Anesthesiology, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 84 Years
Inclusion criteria
Inclusion criteria: 1. Radial artery group: (1) ASA Grade I to III, aged >= 18 years and = 18 years and < 85 years, no gender limit; (2) patients who accepting elective surgery requires brachial plexus block anesthesia through intermuscular sulci approach.
Exclusion criteria
Exclusion criteria: 1. Radial artery puncture group: (1) Allen test positive, emergency surgery and hand/wrist surgery, hemorrhagic shock, alternate pulse, water rush, odd pulse due to other diseases, puncture site infection, coagulopathy, or Raynaud's disease; (2) Patients who had received arterial puncture within 1 month prior to the start of the trial. 2. Brachial plexus block group: patients with coagulopathy, emergency surgery, hemorrhagic shock, and puncture site infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the success rate of radial artery cannulation on the first attempt;success rate of neuroblockage;nerve block procedure time; | — |
Secondary
| Measure | Time frame |
|---|---|
| procedure time;the total time to successful cannulation;the number of attempts;the number of needle redirections;the number of puncture sites;use of the transfixion technique;Use of another artery;the number of operators' head movements during the location and cannulation;complication of cannulation;the angle between the needle and the guide line;evaluated with a visual analogue scale ;onset time and duration;dose of local anesthetics;nerve stimulation;adverse events;the number of operators' head movements when never block;block performance time;postoperative VAS scores;VAS scores at rest at 6h after surgery;the angle between the needle and the midline;discomfort experienced by the patients;the anesthesiologists’ confidence as to whether their block would be successful or not;operator satisfaction score; | — |
Countries
China
Contacts
Public ContactZhao Yue
Guangdong Provincial Hospital of Chinese Medicine
Outcome results
None listed