Conventionally, long-axis in-plane (LA-IP), short-axis out-of-plane (SA-OOP) and dynamic needle tip positioning based on SA-OOP views are commonly used method to image the target vessel during cannulation under US guidance. A modified SA-OOP that add developing line on the ultrasonic probe improve the success rate of cannula insertion into the radial artery on the first attempt.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
124
The tip of needle is positioned under ultrasound-guidance using modified dynamic short-axis view.
The tip of needle is positioned under ultrasound-guidance using conventional long-axis in-plane view.
Shandong Provincial Qianfoshan Hospital
Jinan, Shandong, China
Success rate of the radial artery cannulation at first attempt
Successful confirmation of the arterial waveform through a pressure monitor at first attempt of the radial artery cannulation
Time frame: intraoperative
Time of arterial catheterization
Time frame: Interval between contact of the ultrasound transducer with the skin and confirmation of an arterial waveform on the monitor, an expected average observation time of 300 seconds
Time to first puncture of the artery
Time frame: Interval between skin penetration of the needle and flashback of blood, an expected average of 200 seconds
Time ultrasound imaging
Time frame: Interval between contact of the ultrasound transducer with the skin and penetration of the needle through the skin, , an expected average of 100 seconds
Number of puncture attempts
Time frame: Up to 5 times, an expected average observation time of 70 seconds
Vascular complications in the surgery
including thrombosis, hematoma, and vasospasm
Time frame: postoperative, within 24 hours
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