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The use of USI has eased practical application of interventional procedures, and reduced complications and procedure durations. For vascular interventions with ultrasound imaging, short- or long-section imaging of vascular structures is performed. Both techniques have their own advantages and disadvantages.
This study aims to compare the success rates of femoral artery catheterization using both imaging techniques.
The research will include newborns undergoing open heart surgery and patients requiring arterial monitoring in the neonatal intensive care unit. Eighty patients requiring femoral artery cannulation will be randomized with the closed envelope method and separated into two groups as USI with the in-plane technique (Group A) and USI with the out-of-plane technique (Group B). The intervention will be performed by a single experienced individual. The preparation duration, puncture duration, number of punctures, number of unsuccessful arterial punctures, development of hematoma and other complications will be recorded and the groups will be compared. If there are 3 unsuccessful attempts the procedure will be ended.1. Patients undergoing KVC surgery and patients requiring arterial catheterization in the neonatal intensive care unit (cases with pulmonary disease, electrolyte disorders, metabolic disease, or sepsis requiring frequent blood sampling) EXCLUSION CRITERIA FOR STUDY VOLUNTEERS
1. Distance of femoral artery to skin, distance of femoral artery to inguinal ligament, femoral artery diameter, femoral artery and vein location properties 2. Preparation duration, number of punctures, complications developing during the procedure
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| USG with the in-plane technique | Active Comparator | Intervention: Femoral artery catheterization under USG guidance with the in-plane technique.Patients will have their femoral arterial lines inserted under the guidance of USG. The ultrasound equipment used is LOGIQ e GE medical system(China) CO.LTD |
|
| USG with the out-of-plane technique | Active Comparator | Intervention: Under USG guidance femoral artery catheterization will be done with the probe placed for the out-of-plane technique. The ultrasound equipment used is LOGIQ e GE medical system(China) CO.LTD |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Femoral artery catheterization | Procedure | The intervention will be performed by a single experienced individual. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Femoral artery catheterization puncture duration | 1 - 5 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Attempts | 5 minutes | |
| Rate of Success of First Attempt | 1 - 5 minutes | |
| Distance of femoral artery to skin |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ömer Faruk Boran | Kahramanmaraş Üniversitesi | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kahramanmaraş Sütçü Imam Üniversity | Kahramanmaraş | Türkiye | 46000 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D008659 | Metabolic Diseases |
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
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Distance of femoral artery to skin |
| 1 - 5 minutes |
| Distance of femoral artery to inguinal ligament | 1 - 5 minutes |
| Femoral artery diameter | 1 - 5 minutes |
| Complications developing during the procedure | 24 hour |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |