Comparison of the Distance Between the Femoral Artery and Veins in Various Position in Malay Race Adult

Comparison of the Distance Between the Femoral Artery and Veins in Anatomic Position, Abduction-exorotation and Lower Limb Flexion Position (Frog Leg Position): Observational Study Using Ultrasonography in Malay Race Adult in Indonesia

The purpose of this study is to compare the distance between femoral artery and vein in frog position, abduction-exorotation position and anatomical position.

Study Overview

• Status: Completed
• Conditions: Femoral Artery and Vein Distance; Anatomic

Detailed Description

The incidence of unintentional arterial puncture during cannulation of femoral vein was high(20-50%). The addition of knee flexion to abcudtion-exorotation position (frog position) have been shown to increase the cross sectional area of femoral vein. The purpose of this study is to compare the distance between femoral artery and vein in frog position, abduction-exorotation position and anatomical position.

This study is an analytical observational study with cross sectional design within one grup with repeated measurement. The distance between artery and vein was measured in three position. The measurement was taken twice for each position. First picture was taken by one operator and one ultrasonography for all patient. Then another operator measured the distances with caliper feature on the ultrasonograph.

• Study Type: Observational
• Enrollment (Actual): 50

Contacts and Locations

Study Locations

• Indonesia
  • DKI Jakarta
    • Jakarta Pusat, DKI Jakarta, Indonesia, 10430
      • Cipto Mangunkusumo Central National Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 60 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All Malay race adult seeking for medication in Ciptomangunkusumo Hospital who agree to participate in the study

Description

Inclusion Criteria:

1. Malay race adult 18-60 years old
2. Agree to participate in the study and undergoing femoral vein cannulation
3. Normal weight with IMT 19-25 kg/m2

Exclusion Criteria:

1. Previous cannulation on the same vein
2. Femoral vein catheter has been placed
3. Anatomical variation (artery-venous malformation, venous or artery branch at 2 cm inferior to inguinal ligament)
4. Abdominal distention
5. Femoral vein thrombosis
6. Hypotension (Mean Arterial Pressure <65 mmHg, or using vasopressor or inotrope)

Drop out Criteria:

1. Anatomical abnormalities of femoral vein or artery visualized using ultrasonography examination
2. Fail to visualize femoral vein or artery using ultrasonography for two minutes, operated by trained personnel and declared competent by cardiovascular anesthesiologist consultant
3. Patient not cooperative during procedure, hence, unable to maintain limb position for more than 2 minutes in any position examined
4. Patients with right femur fracture

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The distance between femoral vein and artery in millimeter	The distance between femoral vein and artery in frog leg position, abduction-exorotation position, and anatomical position	one day at diagnosis day

Collaborators and Investigators

• Sponsor: Aldy Heriwardito
• Investigators: Principal Investigator: Aldy Heriwardito, Doctor, Indonesia University

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2019
• Primary Completion (Actual): April 30, 2019
• Study Completion (Actual): April 30, 2019

Study Registration Dates

• First Submitted: March 14, 2022
• First Submitted That Met QC Criteria: March 26, 2022
• First Posted (Actual): April 5, 2022

Study Record Updates

• Last Update Posted (Actual): April 5, 2022
• Last Update Submitted That Met QC Criteria: March 26, 2022
• Last Verified: March 1, 2022

More Information

Terms related to this study

• Keywords: ultrasonography; femoral artery; femoral vein; Frog leg position; abduction-exorotation position
• Other Study ID Numbers: IndonesiaUAnes395

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No