Critical Illness
Conditions
Brief summary
The purpose of this study is to compare the efficacy of ultrasound- guided with the traditional palpation radial artery cannulation in critically ill children.
Detailed description
Arterial catheterization is often performed in critically ill patients for continuous hemodynamic monitoring and blood sampling. However, insertion of radial artery catheter with traditional palpation may be technically challenging, particularly in pediatric patients. There are few published studies on the use of ultrasound guidance for radial-artery catheter placement and mostly they were elective surgery children which received inhalation or deep sedative medication. Recently no setting published in pediatric intensive care unit.
Interventions
PROCEDUREUltrasound
ultrasound at radial site and measure the size and depth of radial artery and perform radial artery cannulation
PROCEDUREtraditional method
Radial artery catheters will be placed by the palpation technique only.
Sponsors
Ramathibodi Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric patients who required radial artery cannulation for hemodynamic monitoring or frequent blood samples in intensive care unit
Exclusion criteria
* Wound at area of cannulation * Can not palpate or weak radial artery pulse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| first attempt success rate of radial artery catheter insertion | 5 minute |
Secondary
| Measure | Time frame |
|---|---|
| time to success of radial artery catheter insertion | 15 minute |
Countries
Thailand
Outcome results
None listed