Status:
COMPLETED
Ankle Measurements of Arterial Pressure: Semi-recumbent or Horizontal Position.
Lead Sponsor:
Nantes University Hospital
Conditions:
Intensive Care Unit
Arterial Catheter
Eligibility:
All Genders
18+ years
Brief Summary
The upper arm is sometimes inaccessible for arterial pressure (AP) measurement. Placing the automatic cuff at the ankle is a common alternative. However, whether AP measurement at the ankle is reliabl...
Detailed Description
A question that arises relatively frequently is "when the upper arm is inaccessible, where should the investigators place the automatic cuff to measure AP?". Indeed, surgical intervention involving th...
Eligibility Criteria
Inclusion
- Inclusion Criteria :
- Patients having a catheter in the radial artery.
- and with stable AP over a 5-min period (no change in invasive mean AP \>10% and no change in vasoactive drugs)
- Exclusion Criteria :
- Cardiac arrhythmia.
- Dysfunction of the arterial catheter and/or waveform suggesting an over- or an under-damping.
- Arm circumference \> 42 cm (measured at mid-arm).
- Contraindication to AP measurement at the arm (fracture, wound, amputated limb, limb ischemia, infection, phlebitis, history of lymph node dissection, venous access used on this limb and contraindicating inflation, other).
- Contraindication to the horizontal supine position or to the semi-recumbent position, even transiently.
- Patient's health condition requiring urgent care that is incompatible with the study protocol.
- Asymmetry of mean AP between the two upper arms (\> 5 mmHg) or inability to assess it.
- Pregnancy.
- Age \<18 years old.
- Adult known to be under guardianship or curatorship before inclusion.
- Absence of coverage by the French national health insurance (Sécurité sociale).
Exclusion
Key Trial Info
Start Date :
October 4 2023
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
December 18 2023
Estimated Enrollment :
51 Patients enrolled
Trial Details
Trial ID
NCT06032169
Start Date
October 4 2023
End Date
December 18 2023
Last Update
January 9 2024
Active Locations (1)
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1
Nantes University Hospital
Nantes, Loire-Atlantique, France, 44093