Arterial Catheterization by Ultrasound

Study Overview
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Brief Summary
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Monitoring of invasive blood pressure and / or cardiac output of resuscitation patients is required and recommended

Detailed Description
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Monitoring of invasive blood pressure and / or cardiac output of resuscitation patients is required and recommended. The installation of an arterial catheter in intensive care is very frequent and subject to many complications. These complications are now well recognized in the literature, they are mainly vascular, infectious and thrombotic. They are directly influenced by the number of attempts to puncture and the time taken to perform the gesture. Many measures are taken to reduce the impact such as the choice of the site of installation, the strict aseptic techniques during the installation and the type of catheter used. However, despite these measures, it appears that the incidence of these complications remains high. Compared to anatomical marking, only the technique of laying the ultrasound-guided catheter has shown its effectiveness in reducing these complications. The management in intensive care of increasingly complicated, severe, elderly patients with significant comorbidities increases from year to year. To the knowledge of the investigator, there is no study on the impact of ultrasound arterial catheterization in patients in resuscitation.

Official Title
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Arterial Catheterization by Ultrasound: Impact on Success Rates and Complications in Patients Hospitalized in Resuscitation

Conditions
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Ultrasound Therapy; Complications, Intensive Care Unit

Intervention / Treatment
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* Procedure: Laying a radial or femoral arterial catheter


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age over 18 years; Hospitalization in resuscitation; Necessity of installation of an arterial catheter Signed informed consent. Affiliation to a social security scheme Exclusion Criteria: Patient under tutorship or curatorship Minor Patient

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Arterial catheter<br>by anatomical placement alone | Procedure: Laying a radial or femoral arterial catheter<br>* Laying a radial or femoral arterial catheter<br>|
| Other: Placement<br>of an arterial catheter by ultrasound tracking | Procedure: Laying a radial or femoral arterial catheter<br>* Laying a radial or femoral arterial catheter<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success rate of arterial or femoral catheter placement | at the first attempted puncture (with only one puncture point on the skin). | 1 day |