Based on the fact that arterial vasodilation can be advantageous for endovascular catheterization and that an increase in body temperature can cause vasodilation by activating the cholinergic active vasodilator system, this study was planned to observe whether there was a significant change in the diameter of artery through ultrasound and to confirm the effectiveness of heating in the traditional palpation technique and the US-guided technique after local warming of the insertion site of arterial catheter in adult patients undergoing cardiac surgery.
Arterial cannulation is one of the important clinical techniques commonly used for real-time monitoring of blood pressure changes or when repeated blood tests are required. However, complications such as bleeding, hematoma, and vascular occlusion may occur if the operator has little or no experience in the procedure, or if arterial cannulation is not easy due to the patient's underlying disease and systemic factors. This situation prolongs the anesthesia induction time and may cause great harm to the patient in cases with a high bleeding tendency, such as in cardiac surgery. Various studies have reported various arterial cannulation techniques so far, and there have been many advances in arterial cannulation techniques due to the general use of ultrasound (hereafter US). However, there is still a risk of complications due to inexperience in the use of US or poor vascular status of the patient.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
160
According to the group of participants, investigator applies the warmer to the hands and wrists of the participants, makes a local temperature of 40℃ gradually, and maintains it for about 10 minutes in warming group (which is divided in to warming-palpation (WP) and warming-US (WU) group).
Pusan National University Yangsan Hospital
Yangsan, South Korea
changes of the diameter of the artery
Investigator measures where there is a significant increase in the diameter of the artery due to warming using US.
Time frame: from time point of warming to success of arterial cannulation (the day of surgery, up to 1hour)
changes of the cross-sectional area of the artery
Investigator measures where there is a significant increase in the cross-sectional area of the artery due to warming using US.
Time frame: from time point of warming to success of arterial cannulation (the day of surgery, up to 1hour)
Success rate of first trial for arterial cannulation
Investigator measures success rate of first trial for arterial cannulation.
Time frame: from time point of warming to success of arterial cannulation (the day of surgery, up to 1hour)
Complications related with arterial cannulation
Investigator measures where there are complications such as hematoma, vasopasm, and ischemia.
Time frame: from time point of warming to success of arterial cannulation (the day of surgery, up to 1hour)
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