Echography to Predict Radial Artery Catheterization Failure (EPRAC) (EPRAC)
4. november 2022 opdateret af: University Hospital, Montpellier
Ultrasound Prediction of Radial Arterial Catheterization Failure in Patients Undergoing Cardiac or Aortic Surgery: a Prospective Study
In patients undergoing cardiac or aortic surgery, the placement of a radial KTA is sometimes difficult, the purpose of this study is to do an ultrasound in order to evaluate the diagnostic values of the internal diameter of the radial artery to predict the failure to install the radial KTA.
Studieoversigt
Status
Afsluttet
Betingelser
Detaljeret beskrivelse
The Arterial Catheter (KTA) enables continuous measurement of invasive blood pressure in patients with accurate and reliable hemodynamic monitoring. Radial Artery Catheterization is the currently recommended placement site.
In patients undergoing cardiac or aortic surgery, placement of a radial KTA is sometimes difficult, with a failure rate of around 15%. It is also a source of local complications and prolongation of the anesthetic duration.
There is no predictive diagnostic test for failed radial KTA placement in anesthesia.
Accurately predicting the failure of radial catheterization by echography will, in the future, make it possible to offer "at risk" patients an immediate catheterization in an other site as for example brachial site.
Undersøgelsestype
Observationel
Tilmelding (Faktiske)
330
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Montpellier, Frankrig, 34295
- University Hospital of Montpellier
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Sandsynlighedsprøve
Studiebefolkning
Adult who have an scheduled cardiac or aortic surgery at Montpellier University Hospital
Beskrivelse
Inclusion Criteria:
- Aged from 18 years old
- Be operated for a scheduled cardiac or aortic surgery
- Be able to complete all the visits and follow the study procedures
- Subjects must be covered by public health insurance
Exclusion Criteria:
- Patients protected by law or Absence of signed informed consent
- Emergency Surgery Patient
- Patient already with an arterial catheter
- Patient with Radial Arterial Catheter Contraindication
- Radial arterial catheter placed by an anesthesiologist nurse student
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: Kohorte
- Tidsperspektiver: Fremadrettet
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Failure to insert a radial artery catheter (KTA) by the nurse anesthesiologists
Tidsramme: Day 1
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Failure to insert the radial KTA by the nurse anesthesiologist defined as follows: ≥ 3 punctures (by the nurse anesthetist) or need to change of doctor operator (nurse anesthesiologist to Anesthesiologist - Resuscitator) or change of puncture site (radial to radial contralateral or other site).
All professionals involved are blinded to the echographic measures of the radial artery.
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Day 1
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Internal radial artery diameter
Tidsramme: Day 1
|
Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
|
Day 1
|
|
External radial artery diameter
Tidsramme: Day 1
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Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
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Day 1
|
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Internal area of the radial artery
Tidsramme: Day 1
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Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
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Day 1
|
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External area of the radial artery
Tidsramme: Day 1
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Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
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Day 1
|
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Calcification of arterial wall (yes/no)
Tidsramme: Day 1
|
Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
|
Day 1
|
|
Thickness of arteria wall
Tidsramme: Day 1
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Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
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Day 1
|
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Ratio between internal and external arteria diameter
Tidsramme: Day 1
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Measured on echographic exam.
Image acquisition done by an independent nurse anesthesist (not involved in the management of the same patient).
Radial artery diameter measured on these images, later, by an anaesthesiologist-Resuscitator physician.
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Day 1
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Clinical characteristics at baseline
Tidsramme: Day 1
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Age, sex, body mass index, ASA score, duration of preoperative fasting, cardiovascular risk factors, cardiovascular conditions, wrist circumference, pulse force of the radial, ulnar, and brachial arteries (no pulse / feeble pulse / normal pulse), mean arterial pressure at punction time, dose of vasopressants (ephedrine, neosynephrine, noradrenaline) at punction time
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Day 1
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Punction-related adverse events
Tidsramme: 6 months
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Hematoma, dissection, thrombosis, ischemia, false aneuvrysm, infection, pain.
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6 months
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Duration of arterial punction
Tidsramme: Day 1
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delay between first pulse palpation and end of bandage on a functional catheter
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Day 1
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Duration of patient management
Tidsramme: 28 days
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duration of anaesthesia, duration of presence in surgery room, length of hospital stay
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28 days
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Jérôme PANIEGO, University Hospital of Montpellier, Montpellier, France, 34295
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
15. april 2021
Primær færdiggørelse (Faktiske)
6. april 2022
Studieafslutning (Faktiske)
11. april 2022
Datoer for studieregistrering
Først indsendt
25. januar 2021
Først indsendt, der opfyldte QC-kriterier
25. januar 2021
Først opslået (Faktiske)
29. januar 2021
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
8. november 2022
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
4. november 2022
Sidst verificeret
1. oktober 2022
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- RECHMPL20_0091
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