Previous studies have demonstrated that an experienced ultrasound operator is able to efficiently perform radial arterial puncture on patients where an initial operator failed to puncture arteries via simple palpation. The objective of this study is to compare "difficult-to-puncture" patients randomized into two groups: one group where ultrasound is used to aid artery localisation, and one group where only palpation is used.
test
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
74
Skin disinfection by local antiseptic. Identification of the radial artery by palpation. Insertion of the needle positioned at 70 ° with regard to the artery palpated. Check the rise of arterial blood in the syringe.
Skin disinfection by local antiseptic. Application of sterile gel. Identification of the artery via ultrasound vascular probe. Center the artery at the center of the screen. Introduction of the syringe at 70 ° with respect to the probe, in center of visualized zone. Check the rise of arterial blood in the syringe.
CHU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, Gard, France
Only one attempt at arterial puncture was necessary (yes/no)
Time frame: Day 0 - end of procedure
Number of skin punctures
Time frame: Day 0 - end of procedure
Length of time necessary for the procedure
Time frame: Day 0 - end of procedure
Presence/absence of complications
Presence/absence of complications including hematoma, nerve injury, vagal reaction, pseudo-aneurysm.
Time frame: Day 0 - end of procedure
Patient satisfaction
Patient satisfaction is evaluated using a visual analog scale.
Time frame: Day 0 - end of procedure
Operator satisfaction
Operator satisfaction is estimated using a visual analog scale.
Time frame: Day 0 - end of procedure
Patient pain evaluation
Patients are asked to evaluate the experienced pain level using a visual analog scale.
Time frame: Day 0 - end of procedure
The number of catheters used
Time frame: Day 0 - end of procedure
Was additional assistance necessary? yes/no
Time frame: Day 0 - end of procedure
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