Short-Axis Versus Long-Axis Ultrasound-Guided Radial Artery Cannulation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSaglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital

About this trial

This randomized controlled study aims to compare short-axis/out-of-plane and long-axis/in-plane ultrasound-guided techniques for radial artery cannulation in adult patients undergoing elective surgery. The study will also investigate whether the depth of the radial artery from the skin is associated with cannulation success and may help guide the selection of the ultrasound-guided cannulation technique.

Participants will be randomly assigned to either the short-axis/out-of-plane group or the long-axis/in-plane group. Radial artery depth will be measured using ultrasound before cannulation. The two techniques will be compared in terms of cannulation success, including first-attempt success, number of punctures and needle redirections, time to successful cannulation, failed cannulation, and procedure-related complications.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Short-Axis/Out-of-Plane Radial Artery Cannulation

    Procedure/Surgery

    Ultrasound-guided radial artery cannulation will be performed using the short-axis/out-of-plane approach. The radial artery will be visualized in the short-axis view, and the needle will be advanced using an out-of-plane technique until successful arterial cannulation.

  • Long-Axis/In-Plane Radial Artery Cannulation

    Procedure/Surgery

    Ultrasound-guided radial artery cannulation will be performed using the long-axis/in-plane approach. The radial artery will be visualized in the long-axis view, and the needle will be advanced using an in-plane technique until successful arterial cannulation.

Treatment groups

144 Participants
are divided into 2 treatment groups
Group A: Short-Axis/Out-of-Plane ApproachExperimental treatment 1 intervention
Group B: Long-Axis/In-Plane ApproachActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Success Rate of Short-Axis/Out-of-Plane Versus Long-Axis/In-Plane Radial Artery Cannulation

The success rates of ultrasound-guided radial artery cannulation using the short-axis/out-of-plane and long-axis/in-plane approaches will be compared. Successful cannulation is defined according to the study protocol as successful radial artery catheter placement within the predefined procedural criteria.

Time frame
During the radial artery cannulation procedure

Secondary outcomes

1

First-Attempt Cannulation Success

Time frame
During the radial artery cannulation procedure

Other outcomes

1

Number of Puncture Attempts

Time frame
Time to Successful Radial Artery Cannulation
2

Procedure-Related Complications

Time frame
During the radial artery cannulation procedure
3

Number of Needle Redirections

Time frame
During the radial artery cannulation procedure

Sponsors and contacts

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