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To assess and improve the safety and success rate of vascular puncture and catheterization using ultrasound-guided methods.
Investigators hypothesized that （1） various ultrasound-guided methods had different performances of vascular puncture and catheterization, (2) certain risk factors influenced safety and success rate of vascular puncture and catheterization (3) implementation of protocols could improve the performances of ultrasound-guided vascular puncture and catheterization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dynamic | Active Comparator | Keep moving the probe for needle tip visualization during the puncture procedure. |
|
| Regular-triangle | Placebo Comparator | Needle access along the hypotenuse of the regular triangle formed by the vascular depth and puncture point. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dynamic | Behavioral | Use the according methods in dynamic arm descriptions. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Successful rate without extra vascular damage | Percentages of successful catheterization without vascular damage of posterior wall. | Through study completion, an average of 1 year. |
| Measure | Description | Time Frame |
|---|---|---|
| Successful rate at first attempt. | Percentage of successful catheterization at first attempt without needle withdraw. | Through study completion, an average of 1 year. |
| Time duration of catheterization. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yu | Peking Union Medical College Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Beijing | Beijing Municipality | 100730 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27761661 | Background | Sethi S, Maitra S, Saini V, Samra T, Malhotra SK. Comparison of short-axis out-of-plane versus long-axis in-plane ultrasound-guided radial arterial cannulation in adult patients: a randomized controlled trial. J Anesth. 2017 Feb;31(1):89-94. doi: 10.1007/s00540-016-2270-6. Epub 2016 Oct 19. | |
| 23659411 | Background |
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Performances of vascular manufacture，such as posterior wall puncture，success at first attempt， overall success or failure and so on. Evaluations of vascular sonography， such as depth，diameter and so on.
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D018376 | Cardiovascular Abnormalities |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002318 | Cardiovascular Diseases |
| D000013 | Congenital Abnormalities |
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| Regular-triangle |
| Behavioral |
Use the according methods in regular-triangle arm descriptions. |
|
From beginning of needle puncture to finishing or failing catheterization.
| Through study completion, an average of 1 year. |
| Relative factors of successful catheterization without posterior wall damage. | Relationship between independent variables (gender, age, BMI, BP, depth and so on) and successful catheterization without posterior wall damage. | Through study completion, an average of 1 year. |
| The effect of depth to the successful catheterization without posterior wall puncture. | The relationships between different depth of vascular anterior wall and successful catheterization without posterior wall puncture. | Through study completion, an average of 1 year. |
| Goh G, Tan C, Weinberg L. Dynamic ultrasound-guided, short axis, out-of-plane radial artery cannulation: the 'follow the tip' technique. Anaesth Intensive Care. 2013 May;41(3):431-2. No abstract available. |
| 24462032 | Background | Powell JT, Mink JT, Nomura JT, Levine BJ, Jasani N, Nichols WL, Reed J, Sierzenski PR. Ultrasound-guidance can reduce adverse events during femoral central venous cannulation. J Emerg Med. 2014 Apr;46(4):519-24. doi: 10.1016/j.jemermed.2013.08.023. Epub 2014 Jan 22. |
| 24781571 | Background | Nakayama Y, Nakajima Y, Sessler DI, Ishii S, Shibasaki M, Ogawa S, Takeshita J, Shime N, Mizobe T. A novel method for ultrasound-guided radial arterial catheterization in pediatric patients. Anesth Analg. 2014 May;118(5):1019-26. doi: 10.1213/ANE.0000000000000164. |
| 28486776 | Background | Ward F, Faratro R, McQuillan RF. Ultrasound-Guided Cannulation of the Hemodialysis Arteriovenous Access. Semin Dial. 2017 Jul;30(4):319-325. doi: 10.1111/sdi.12603. Epub 2017 May 9. |
| 21494105 | Background | Fragou M, Gravvanis A, Dimitriou V, Papalois A, Kouraklis G, Karabinis A, Saranteas T, Poularas J, Papanikolaou J, Davlouros P, Labropoulos N, Karakitsos D. Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study. Crit Care Med. 2011 Jul;39(7):1607-12. doi: 10.1097/CCM.0b013e318218a1ae. |
| 26539789 | Background | Reusz G, Csomos A. The role of ultrasound guidance for vascular access. Curr Opin Anaesthesiol. 2015 Dec;28(6):710-6. doi: 10.1097/ACO.0000000000000245. |
| 26830218 | Background | Gao YB, Yan JH, Ma JM, Liu XN, Dong JY, Sun F, Tang LW, Li J. Effects of long axis in-plane vs short axis out-of-plane techniques during ultrasound-guided vascular access. Am J Emerg Med. 2016 May;34(5):778-83. doi: 10.1016/j.ajem.2015.12.092. Epub 2016 Jan 6. |
| 34637140 | Derived | Flumignan RL, Trevisani VF, Lopes RD, Baptista-Silva JC, Flumignan CD, Nakano LC. Ultrasound guidance for arterial (other than femoral) catheterisation in adults. Cochrane Database Syst Rev. 2021 Oct 12;10(10):CD013585. doi: 10.1002/14651858.CD013585.pub2. |
| 32928119 | Derived | Bai B, Tian Y, Zhang Y, Yu C, Huang Y. Dynamic needle tip positioning versus the angle-distance technique for ultrasound-guided radial artery cannulation in adults: a randomized controlled trial. BMC Anesthesiol. 2020 Sep 14;20(1):231. doi: 10.1186/s12871-020-01152-1. |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |