Ultrasound-Guided Ulnar Versus Radial Artery Cannulation in Children
Ultrasound-Guided Radial Versus Ulnar Arterial Cannulation in Children: a Single-Center, Single-Blind Randomized Controlled Trial
Ultrasound-Guided Radial Versus Ulnar Arterial Cannulation in Children: a Single-Center, Single-Blind Randomized Controlled Trial
Sponsor study identifier
interventional
85
1 country
1
Study Start
January 1, 2024
Actual (reported)Primary Completion
September 1, 2024
Actual (reported)Study Completion
September 1, 2024
Actual (reported)Arterial catheterization provides continuous blood pressure monitoring and repeated blood sampling in children undergoing surgery at high cardiovascular or hemorrhagic risk, and in critically ill children. The radial artery is the conventional site, but cannulation remains challenging in children because of small vessel caliber and frequent anatomical variants. Ultrasound guidance has made alternative sites accessible, and the ulnar artery has a comparable caliber and a depth often closer to the range considered optimal for puncture. This trial compared ultrasound-guided ulnar versus radial arterial cannulation in children older than one year, with regard to first-attempt success and the rate of local complications.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 1, 2024
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 1, 2024
Actual (reported)September 1, 2024
Actual (reported)September 1, 2024
Actual (reported)October 16, 2026
Actual (reported)October 22, 2026
Actual (reported)Successful arterial cannulation at the first attempt
Proportion of patients in whom an arterial pressure waveform was obtained on the monitor at the first puncture attempt
During the cannulation procedure, up to 15 minutes from skin puncture
Artery localization time
During the cannulation procedure, up to 15 minutes
Catheter insertion time
During the cannulation procedure, up to 15 minutes
Ultrasound-guided cannulation of the radial artery through a short-axis out-of-plane approach.
Ultrasound-guided cannulation of the ulnar artery through a short-axis out-of-plane approach.
The radial artery is identified sonographically at the anterior aspect of the wrist and confirmed with Doppler, with the wrist in 45 degrees of dorsiflexion. It is punctured through a short-axis out-of-plane approach using a 25-gauge 4 cm catheter and a Sonosite M-Turbo system with a 6-13 MHz linear probe.
Identical procedure applied to the ulnar artery.
Bechir Hamza Children's Hospital, Tunis 1029
Tunis, 1029, Tunisia
85 participants (actual enrollment reported by the registry).
First Submitted
October 16, 2026
First Posted
October 22, 2026
Study Start
January 1, 2024
Radial Artery Cannulation and Perfusion Index
Total procedure time
During the cannulation procedure, up to 15 minutes
Number of puncture attempts
During the cannulation procedure, up to 15 minutes
Need for a second operator
During the cannulation procedure, up to 15 minutes
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Primary Completion
September 1, 2024
Actual (reported)Study Completion
September 1, 2024
Actual (reported)Last Updated
October 22, 2026
Record last verified: 2026-10
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Source: ClinicalTrials.gov.
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