Clinical trial NCT03656978: Ultrasound-Guided Vascular Puncture and Catheterization
Official title: Ultrasound-Guided Vascular Puncture and Catheterization
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Vascular Access Complication
Ultrasound Therapy; Complications
Perioperative/Postoperative Complications
Cardiovascular Abnormalities
Keywords: vascular access
vascular catheterization
ultrasound-guided
ultrasonography
perioperative
anesthesia
cardiovascular abnormalities
Lead sponsor: Peking Union Medical College Hospital
Sponsor class: OTHER
First posted: 2018-09-04
Enrollment: 134
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: To assess and improve the safety and success rate of vascular puncture and catheterization using ultrasound-guided methods.

Detailed description: Investigators hypothesized that （1） various ultrasound-guided methods had different performances of vascular puncture and catheterization, (2) certain risk factors influenced safety and success rate of vascular puncture and catheterization (3) implementation of protocols could improve the performances of ultrasound-guided vascular puncture and catheterization.

Eligibility criteria: Inclusion Criteria:

* Age above 18 years old.
* Scheduled for selective surgery.
* Requirement of perioperative vascular puncture and catheterization.
* American standard of anesthesia level I-IV.

Exclusion Criteria:

* Contraindication to vascular puncture or catheterization.
* Occlusion or thrombosis of target vessel evaluated by ultrasound.
* Refuse or disagreement from participants.

Primary outcomes:
measure: Successful rate without extra vascular damage
timeFrame: Through study completion, an average of 1 year.
Secondary outcomes:
measure: Successful rate at first attempt.
timeFrame: Through study completion, an average of 1 year.
measure: Time duration of catheterization.
timeFrame: Through study completion, an average of 1 year.
measure: Relative factors of successful catheterization without posterior wall damage.
timeFrame: Through study completion, an average of 1 year.
measure: The effect of depth to the successful catheterization without posterior wall puncture.
timeFrame: Through study completion, an average of 1 year.
Other outcomes:
Locations:
city: Beijing
country: China
facility: Peking Union Medical College Hospital
state: Beijing
Study officials:
affiliation: Peking Union Medical College Hospital
name: Yu
role: STUDY_CHAIR
References:
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citation: Flumignan RL, Trevisani VF, Lopes RD, Baptista-Silva JC, Flumignan CD, Nakano LC. Ultrasound guidance for arterial (other than femoral) catheterisation in adults. Cochrane Database Syst Rev. 2021 Oct 12;10(10):CD013585. doi: 10.1002/14651858.CD013585.pub2.
citation: Bai B, Tian Y, Zhang Y, Yu C, Huang Y. Dynamic needle tip positioning versus the angle-distance technique for ultrasound-guided radial artery cannulation in adults: a randomized controlled trial. BMC Anesthesiol. 2020 Sep 14;20(1):231. doi: 10.1186/s12871-020-01152-1.