| CTRI Number |
CTRI/2023/06/053718 [Registered on: 09/06/2023] Trial Registered Prospectively |
| Last Modified On: |
07/06/2023 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparison of ulnar and radial artery cannulation with help of ultrasonography in obese and non-obese patients undergoing surgery under anesthesia |
|
Scientific Title of Study
|
Comparison of ulnar and radial artery cannulation under ultrasound guidance in obese and non-obese groups- a randomised study |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Sonal Saini |
| Designation |
Junior Resident (Academic) |
| Affiliation |
AIIMS Bhubaneswar |
| Address |
Department of Anaesthesiology and Critical Care, 4th floor, Room no. 409, Academic building, AIIMS Bhubaneswar, Sijua, Patrapada, PO-Dumuduma, Bhubaneswar, Orissa-751019
Khordha ORISSA 751019 India |
| Phone |
7014242356 |
| Fax |
|
| Email |
sonalsainim17@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Suma Rabab Ahmad |
| Designation |
Associate Professor |
| Affiliation |
AIIMS Bhubaneswar |
| Address |
Department of Anaesthesiology and Critical Care, 4th floor, Room no. 409, Academic building, AIIMS Bhubaneswar, Sijua, Patrapada, PO-Dumuduma, Bhubaneswar, Orissa-751019
Khordha ORISSA 751019 India |
| Phone |
7259000696 |
| Fax |
|
| Email |
suma.ahmad@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Suma Rabab Ahmad |
| Designation |
Associate Professor |
| Affiliation |
AIIMS Bhubaneswar |
| Address |
Department of Anaesthesiology and Critical Care, 4th floor, Room no. 409, Academic building, AIIMS Bhubaneswar, Sijua, Patrapada, PO-Dumuduma, Bhubaneswar, Orissa-751019
Khordha ORISSA 751019 India |
| Phone |
7259000696 |
| Fax |
|
| Email |
suma.ahmad@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
AIIMS Bhubaneswar |
| Address |
AIIMS Bhubaneswar, Sijua, Patrapada, PO- Dumuduma, Bhubaneswar, Orissa-751019 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sonal Saini |
AIIMS Bhubaneswar |
Department of Anesthesiology and Critical care, Academic building, 4th floor, room 409 Khordha ORISSA |
7014242356
sonalsainim17@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, All India Institute of Medical Sciences, Bhubaneswar |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
ultrasound guided radial artery cannulation |
radial artery will be cannulated under ultrasound guidance in obese and non-obese groups |
| Intervention |
ultrasound guided ulnar artery cannulation |
ulnar artery will be cannulated under ultrasound guidance in obese and non-obese groups |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1. ASA 1 and ASA 2 patients
2. age 18 to 65 year
3. positive modified Allen and inverse Allen test
4. undergoing elective surgery under anaesthesia (general or regional) and requiring arterial cannulation |
|
| ExclusionCriteria |
| Details |
Following patients will be excluded:
1. patients not giving consent
2. patients having coagulopathy
3. presence of local anatomic distortion (traumatic or congenital)
4. presence of local site infection/cellulitis
5. history of prior surgery in the area
6. history of arterial cannulation in the area in last 14 days
7. patients with vascular disease
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To compare the first attempt success rate of radial and ulnar artery cannulation under ultrasound guidance in obese and non-obese groups |
At the time 0f arterial cannulation |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. ease of insertion of cannula-easy (1 attempt), difficult (2-3 attempts), failure (more than 3 attempts)
2. Cross-sectional area, maximum internal diameter and depth from skin surface- in short and in long axis view
3. Doppler peak systolic flow before cannulation and after 1 hour of removal of cannula
4. complications of arterial cannulation up till 5 days of insertion |
At the time of cannulation, after 1 hour of cannulation, up to 5 days after cannula insertion |
|
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
03/07/2023 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="7" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
None |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Invasive blood
pressure monitoring is commonly done. Radial artery is commonly cannulated.
With the advent of USG deeper arteries like ulnar artery can even be cannulated.
In obese patients artery cannulation is proposed to be difficult but we expect
it to be done with more ease under USG guidance. Comparison of first attempt
success rate of ulnar versus radial arterial cannulation under USG guidance in
obese and non-obese groups of patients has not yet been studied. |