Atrial line insufficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age > 18 y.o. 2) Patients undergoing standby cardiovascular surgery and scheduled for admission to the intensive care unit 3) patients with informed consent
Exclusion criteria
Exclusion criteria: Body mass index > 35 kg/m2, infection at the site of atrial catheterization, Raynaud's disease, Burger disease, patients with left ventricular assist device, veno-arterial extracorporeal membrane oxygenation, intrasortic baloon pumping, or hemodialysis, patients with significant valuvlar disease, Allen's test >= 5 seconds.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Meet any of the signs of arterial catheter dysfunction defined below at the first noon after admission to the ICU. 1: Flattened pressure waveform improved by wearing a splint or adjusting the position of the hand 2: There is a flattened pressure waveform that does not improve by wearing a splint or adjusting the position of the hand, and there is a difference of 20 mmHg or more in systolic blood pressure compared to systolic non-invasive blood pressure measured in the upper arm on the same side. To be done 3: When the pressure transducer is opened to the atmosphere, it takes 2 seconds or more for blood reflux. 4: Blood cannot be collected from the arterial pressure catheter 5: The pressure flush of the arterial pressure catheter cannot be performed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of arterial pressure catheter dysfunction as the primary endpoint at the time of entering the ICU, 24 hours after entering the room, and 48 hours after entering the room. | — |
Contacts
National Cerebral and Cardiovasculae Center