Effect of Local Warming for Arterial Catheterization in Pediatric Anesthesia
WARM-PA
1 other identifier
interventional
126
1 country
1
Brief Summary
The increase in internal diameter (ID) and cross-sectional area (CSA) may facilitate better arterial catheterization. Since an increase in body temperature can cause peripheral vasodilation, we aimed to determine if local warming of the radial artery (RA) catheterization site could improve the success rate of catheterization in pediatric patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 8, 2023
CompletedFirst Posted
Study publicly available on registry
September 18, 2023
CompletedStudy Start
First participant enrolled
September 22, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedAugust 12, 2024
August 1, 2024
2.3 years
September 8, 2023
August 9, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
first-attempt success rate of arterial catheterization
The first-attempt success rate of pediatric peripheral arterial catheterization in the non-warming group, or warming group
baseline, imediate after arterial catheterization
Secondary Outcomes (1)
internal diameter (ID) and cross-sectional area (CSA)
baseline, imediate after arterial catheterization in the non-warming group, or warming group
Study Arms (2)
Non-warming group (C)
NO INTERVENTIONAfter induction, the baseline artery ultrasonography images are collected for the internal diameter and cross-sectional area of the artery. In the non-warming group (C), local warming is not applied on the catheterization site. Before catheterization, the artery ultrasonography images are collected. Then, arterial catheterization is applied.
Warming group (W)
EXPERIMENTALIn the warming group (W), local warming is applied on the catheterization site. Before catheterization, the artery ultrasonography images are collected. Then, arterial catheterization is done.
Interventions
local warming on the site for arterial catheterization using forced air warmer
Eligibility Criteria
You may qualify if:
- aged ≤ 2 years
- cardiac surgery with peripheral artery catheterization
You may not qualify if:
- unstable vital signs
- pre-existing arterial catheter (exception of umbilical artery catheterization)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Pusan National University Yangsan Hospital
Yangsan, Gyeongsangnam-do, 50612, South Korea
Related Publications (3)
Christen S, Delachaux A, Dischl B, Golay S, Liaudet L, Feihl F, Waeber B. Dose-dependent vasodilatory effects of acetylcholine and local warming on skin microcirculation. J Cardiovasc Pharmacol. 2004 Dec;44(6):659-64. doi: 10.1097/00005344-200412000-00006.
PMID: 15550784BACKGROUNDAl-Hakim R, Hedge JC, Jahangiri Y, Kaufman JA, Galuppo R, Farsad K. Palmar Warming for Radial Artery Vasodilation to Facilitate Transradial Access: A Randomized Controlled Trial. J Vasc Interv Radiol. 2019 Mar;30(3):421-424. doi: 10.1016/j.jvir.2018.10.021.
PMID: 30819486BACKGROUNDBarcroft H, Edholm OG. The effect of temperature on blood flow and deep temperature in the human forearm. J Physiol. 1943 Jun 30;102(1):5-20. doi: 10.1113/jphysiol.1943.sp004009. No abstract available.
PMID: 16991588BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hee Young Kim
Pusan National University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Fund assistant professor
Study Record Dates
First Submitted
September 8, 2023
First Posted
September 18, 2023
Study Start
September 22, 2023
Primary Completion
December 31, 2025
Study Completion
December 31, 2025
Last Updated
August 12, 2024
Record last verified: 2024-08
Data Sharing
- IPD Sharing
- Will not share