Radial Artery Cannulation
Conditions
Interventions
DNTP group:Perform radial artery puncture using the short-axis plane-outside dynamic needle tip positioning technique under ultrasound guidance
LA-IP group:Perform radial artery puncture using the long-axis plane-inward puncture technique under ultrasound guidance
Sponsors
The First Affiliated Hospital of Anhui Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. ASA classification I-III grades; 2. Patients over 18 years old undergoing elective surgeries; 3. Require radial artery catheterization for intraoperative monitoring; 4. Sign written informed consent (including consent for process video recording). Note: Indications for invasive arterial pressure monitoring include major surgeries, the need for strict blood pressure control, or the requirement for repeated arterial blood gas analysis, etc. All subjects will undergo radial artery catheterization in the preoperative anesthesia preparation room.
Exclusion criteria
Exclusion criteria: 1. Patients with ASA grade IV or above, or those undergoing emergency surgery; 2. The puncture site has infection, scar, hematoma, vascular malformation or other skin or vascular problems that affect the puncture operation; 3. Have a history of radial artery ligation, radial artery transplantation or severe trauma; There are significant anatomical abnormalities in the arterial puncture path, or the diameter of the radial artery (frontal and lateral diameters) is too thin ( 1.5, platelet count < 50×10?/L) or strong anticoagulation, dual antiplatelet therapy, patients judged by the researcher to be inappropriate for inclusion; 5. Abnormal modified Allen test; 6. Preoperative presence of severe tremors, restlessness, Parkinson's disease, etc., which affect the puncture cooperation; 7. Allergy to ultrasound coupling agent or other conditions that may interfere with ultrasound-guided operation; 8. Unable to cooperate with the research process or those who have previously participated in similar trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major complications;Posterior wall puncture;Overall success;Number of puncture catheter insertions;Time taken for puncture and catheter insertion; | — |
Secondary
| Measure | Time frame |
|---|---|
| Classification of hematoma occurrence at the puncture site;Posterior wall puncture rate;Arterial occlusion or significant distal ischemia;Pseudoaneurysm or thrombus needs to be treated;Nerve injury;The incidence and severity of radial artery spasm;Subcutaneous bruising at the puncture site;Infection at the puncture site;Failure rate of functions before extubation;First-time success rate;Overall success rate;Crossing rate;The incidence of needing to change the puncture site or switching to another artery;Number of puncture catheter insertions;The time required for puncture and catheter insertion;Ultrasound positioning time;Number of times the needle path was redirected;The inner diameter (anteroposterior diameter, left-right diameter) of the radial artery, depth, calcification of the vessel wall, and whether it is prone to flattening;Patient anxiety score;Puncture-related pain score;Patient satisfaction score;Operator's subjective difficulty rating;One-time consumables usage: Number of arterial puncture needles; | — |
Countries
China
Contacts
Public ContactYahui Xu
The First Affiliated Hospital of Anhui Medical University
Outcome results
None listed