Arterial LineNCT05030649
Smart-glasses During the Ultrasound-guided Radial Arterial Catheterization in Pediatric Patients by Trainees
A study testing Smart glasses in people with Arterial Line, run by Seoul National University Hospital at 1 site in South Korea.
Trial summary
The primary objective of the study is to evaluate the effect of smart glasses (Head-mounted display Moverio BT-300 (Epson Inc., USA)) on the first-attempt success rate of radial artery cannulation in pediatric patients by less experienced trainees. Read more about this study
- Who is it for?
- Ages Up to 7 years
- Conditions the study is for
- Arterial Line
- What is being tested?
- Smart glasses
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 122 participants
- Where
- 1 siteSouth Korea
- Study dates
- 17 Sep 2021to 7 Feb 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 7 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- General anesthesia
- Arterial cannulation for hemodynamic monitoring, multiple blood sample
Who cannot join
- Unstable vital signs, significant arrhythmia or hypotension, Shock
- High risk of peripheral ischemia
- Skin disease, infection, hematoma, recent cannulation at theradial artery
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Usefulness of Smart-glasses During the Ultrasound-guided Radial Arterial Catheterization in Pediatric Patients by Less Experienced Trainees: a Randomized Controlled Trial
The primary objective of the study is to evaluate the effect of smart glasses (Head-mounted display Moverio BT-300 (Epson Inc., USA)) on the first-attempt success rate of radial artery cannulation in pediatric patients by less experienced trainees. This study hypothesizes that the use of smart glasses improves the hand-eye coordination and the first-attempt success rate of radial artery cannulation. This is a single-center, randomized, placebo-controlled study comparing the real-time ultrasound image through smart glasses (intervention group) or the ultrasound machine's monitor (control group) during the radial arterial cannulation in pediatric patients undergoing general anesthesia by less experienced trainees.
- Conditions
- Arterial Line
- Being tested
- Smart glasses, Control
- Keywords
- Radial Artery, Vascular Catheters, Smart Glassess, Less experienced
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Smart glassesDevice
The real-time ultrasound image is displayed through head-mounted display Moverio BT-300 (Epson Inc., USA) during the radial arterial cannulation.
ControlDevice
The real-time ultrasound image is displayed by the ultrasound machine's monitor during the radial arterial cannulation.
| Study group | Role | What they receive |
|---|---|---|
| Smart Glasses | Experimental | The real-time ultrasound image is displayed through head-mounted display Moverio BT-300 (Epson Inc., USA) during the radial arterial cannulation. Receives: Device: Smart glasses |
| Control | Active comparator | The real-time ultrasound image is displayed by the ultrasound machine's monitor during the radial arterial cannulation. Receives: Device: Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
First attempt success rate
Success at the first skin puncture
Measured: During radial artery cannulation (up to 1 hour)
Secondary outcomes (11)
Size of radial artery
Internal diameter of radial artery
Measured: During radial artery cannulation (up to 1 hour)
depth of radial artery
depth of radial artery from the skin
Measured: During radial artery cannulation (up to 1 hour)
Overall attempt
Number of attempt of radial artery cannulation
Measured: During radial artery cannulation (up to 1 hour)
Ultrasound image time
From ultrasound probe application, to get radial artery image on the ultrasound screen
Measured: During radial artery cannulation (up to 1 hour)
Arterial cannulation time
From needle puncture, to Arterial waveform
Measured: During radial artery cannulation (up to 1 hour)
Overall Procedure time
From ultrasound probe application, to Arterial waveform
Measured: During radial artery cannulation (up to 1 hour)
Overall success rate
Success within 2 skin puncture and within 10 minutes at the chosen radial artery
Measured: During radial artery cannulation (up to 1 hour)
Malfunction of radial artery catheter
Malfunction of Invasive blood pressure monitoring, Sampling
Measured: After radial artery cannulation assessed during anesthesia (up to 24 hour)
Complication rate
Hematoma, Distal ischemia, Spasm accessed by ultrasound
Measured: After radial artery cannulation assessed up to PACU, PICU stay (up to 24 hour)
Operator's experience
The prior experience of the operator's in ultrasound-guided vascular cannulation (5-10 cannulations, 10-30 cannulations, 30-50 cannulations, 50-100 cannulations)
Measured: During radial artery cannulation (up to 1 hour)
Operator's satisfaction
Operator's satisfaction, 5 scale (Worst, Poor, Acceptable, Good, Best)
Measured: During radial artery cannulation (up to 1 hour)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Sep 2021
- Study start17 Sep 2021
- Primary completion7 Feb 2023
- Study completion7 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Arterial LineStudies of the same condition, open and under way.
- More trials run by Seoul National University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 122 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seoul National University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Jin-Tae Kim, Seoul National University Hospital
- Investigators
- Jin-Tae Kim, MD, PhD, Principal investigator, Seoul National University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05030649
- Sponsor's protocol ID
- Smart Glass A-line Less Exp
- Status last verified
- Mar 2023
- First submitted
- 30 Aug 2021
- Last updated
- 7 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
White L, Halpin A, Turner M, Wallace L. Ultrasound-guided radial artery cannulation in adult and paediatric populations: a systematic review and meta-analysis. Br J Anaesth. 2016 May;116(5):610-7. doi: 10.1093/bja/aew097.
PubMed 27106964Kim EH, Lee JH, Song IK, Kim JT, Lee WJ, Kim HS. Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study. Anesthesiology. 2017 Sep;127(3):423-431. doi: 10.1097/ALN.0000000000001774.
PubMed 28682811Cuper NJ, de Graaff JC, Hartman BJ, Verdaasdonk RM, Kalkman CJ. Difficult arterial cannulation in children: is a near-infrared vascular imaging system the answer? Br J Anaesth. 2012 Sep;109(3):420-6. doi: 10.1093/bja/aes193. Epub 2012 Jun 26.
PubMed 22735300Ishii S, Shime N, Shibasaki M, Sawa T. Ultrasound-guided radial artery catheterization in infants and small children. Pediatr Crit Care Med. 2013 Jun;14(5):471-3. doi: 10.1097/PCC.0b013e31828a8657.
PubMed 23628835Song IK, Choi JY, Lee JH, Kim EH, Kim HJ, Kim HS, Kim JT. Short-axis/out-of-plane or long-axis/in-plane ultrasound-guided arterial cannulation in children: A randomised controlled trial. Eur J Anaesthesiol. 2016 Jul;33(7):522-7. doi: 10.1097/EJA.0000000000000453.
PubMed 26986774Maruyama K, Watanabe E, Kin T, Saito K, Kumakiri A, Noguchi A, Nagane M, Shiokawa Y. Smart Glasses for Neurosurgical Navigation by Augmented Reality. Oper Neurosurg. 2018 Nov 1;15(5):551-556. doi: 10.1093/ons/opx279.
PubMed 29373710Ueda K, Puangsuvan S, Hove MA, Bayman EO. Ultrasound visual image-guided vs Doppler auditory-assisted radial artery cannulation in infants and small children by non-expert anaesthesiologists: a randomized prospective study. Br J Anaesth. 2013 Feb;110(2):281-6. doi: 10.1093/bja/aes383. Epub 2012 Nov 14.
PubMed 23151422Anantasit N, Cheeptinnakorntaworn P, Khositseth A, Lertbunrian R, Chantra M. Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial. J Ultrasound Med. 2017 Dec;36(12):2495-2501. doi: 10.1002/jum.14291. Epub 2017 Jul 8.
PubMed 28688136Kim JT, Park JB, Kang P, Ji SH, Kim EH, Lee JH, Kim HS, Jang YE. Effectiveness of head-mounted ultrasound display for radial arterial catheterisation in paediatric patients by anaesthesiology trainees: A randomised clinical trial. Eur J Anaesthesiol. 2024 Jul 1;41(7):522-529. doi: 10.1097/EJA.0000000000001985. Epub 2024 Mar 21.
PubMed 38517311
Study at a glance
From the registry record, last updated by the sponsor on 7 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Usefulness of Smart-glasses During the Ultrasound-guided Radial Arterial Catheterization in Pediatric Patients by Less Experienced Trainees: a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05030649
- Acronym / sponsor ID
- Smart Glass A-line Less Exp
- Conditions
- Arterial Line
- Keywords
- Radial Artery, Vascular Catheters, Smart Glassess, Less experienced
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 122 participants (actual)
- Lead sponsor
- Seoul National University HospitalUniversity, hospital or other
- Study start
- 17 Sep 2021 (actual)
- Primary completion
- 7 Feb 2023 (actual)
- Study completion
- 7 Feb 2023 (actual)
- First posted
- 1 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to evaluate the effect of smart glasses (Head-mounted display Moverio BT-300 (Epson Inc., USA)) on the first-attempt success rate of radial artery cannulation in pediatric patients by less experienced trainees. This study hypothesizes that the use of smart glasses improves the hand-eye coordination and the first-attempt success rate of radial artery cannulation. This is a single-center, randomized, placebo-controlled study comparing the real-time ultrasound image through smart glasses (intervention group) or the ultrasound machine's monitor (control group) during the radial arterial cannulation in pediatric patients undergoing general anesthesia by less experienced trainees.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Smart Glasses | Experimental | Device: Smart glassesThe real-time ultrasound image is displayed through head-mounted display Moverio BT-300 (Epson Inc., USA) during the radial arterial cannulation. |
| Control | Active comparator | Device: ControlThe real-time ultrasound image is displayed by the ultrasound machine's monitor during the radial arterial cannulation. |
Who may qualify
- Ages
- Up to 7 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (2 listed)
- General anesthesia
- Arterial cannulation for hemodynamic monitoring, multiple blood sample
Key exclusion criteria (3 listed)
- Unstable vital signs, significant arrhythmia or hypotension, Shock
- High risk of peripheral ischemia
- Skin disease, infection, hematoma, recent cannulation at theradial artery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Smart glassesThe real-time ultrasound image is displayed through head-mounted display Moverio BT-300 (Epson Inc., USA) during the radial arterial cannulation. | Device | Smart Glasses |
| ControlThe real-time ultrasound image is displayed by the ultrasound machine's monitor during the radial arterial cannulation. | Device | Control |
Primary outcome
First attempt success rate
Time frame: During radial artery cannulation (up to 1 hour)
Success at the first skin puncture
11 secondary outcomes
Size of radial artery
Time frame: During radial artery cannulation (up to 1 hour)
depth of radial artery
Time frame: During radial artery cannulation (up to 1 hour)
Overall attempt
Time frame: During radial artery cannulation (up to 1 hour)
Ultrasound image time
Time frame: During radial artery cannulation (up to 1 hour)
Arterial cannulation time
Time frame: During radial artery cannulation (up to 1 hour)
Overall Procedure time
Time frame: During radial artery cannulation (up to 1 hour)
Overall success rate
Time frame: During radial artery cannulation (up to 1 hour)
Malfunction of radial artery catheter
Time frame: After radial artery cannulation assessed during anesthesia (up to 24 hour)
Complication rate
Time frame: After radial artery cannulation assessed up to PACU, PICU stay (up to 24 hour)
Operator's experience
Time frame: During radial artery cannulation (up to 1 hour)
Operator's satisfaction
Time frame: During radial artery cannulation (up to 1 hour)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Mar 2023.
- Background: PubMed 27106964White L, Halpin A, Turner M, Wallace L. Ultrasound-guided radial artery cannulation in adult and paediatric populations: a systematic review and meta-analysis. Br J Anaesth. 2016 May;116(5):610-7. doi: 10.1093/bja/aew097.
- Background: PubMed 28682811Kim EH, Lee JH, Song IK, Kim JT, Lee WJ, Kim HS. Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study. Anesthesiology. 2017 Sep;127(3):423-431. doi: 10.1097/ALN.0000000000001774.
- Background: PubMed 22735300Cuper NJ, de Graaff JC, Hartman BJ, Verdaasdonk RM, Kalkman CJ. Difficult arterial cannulation in children: is a near-infrared vascular imaging system the answer? Br J Anaesth. 2012 Sep;109(3):420-6. doi: 10.1093/bja/aes193. Epub 2012 Jun 26.
- Background: PubMed 23628835Ishii S, Shime N, Shibasaki M, Sawa T. Ultrasound-guided radial artery catheterization in infants and small children. Pediatr Crit Care Med. 2013 Jun;14(5):471-3. doi: 10.1097/PCC.0b013e31828a8657.
- Background: PubMed 26986774Song IK, Choi JY, Lee JH, Kim EH, Kim HJ, Kim HS, Kim JT. Short-axis/out-of-plane or long-axis/in-plane ultrasound-guided arterial cannulation in children: A randomised controlled trial. Eur J Anaesthesiol. 2016 Jul;33(7):522-7. doi: 10.1097/EJA.0000000000000453.
- Background: PubMed 29373710Maruyama K, Watanabe E, Kin T, Saito K, Kumakiri A, Noguchi A, Nagane M, Shiokawa Y. Smart Glasses for Neurosurgical Navigation by Augmented Reality. Oper Neurosurg. 2018 Nov 1;15(5):551-556. doi: 10.1093/ons/opx279.
- Background: PubMed 23151422Ueda K, Puangsuvan S, Hove MA, Bayman EO. Ultrasound visual image-guided vs Doppler auditory-assisted radial artery cannulation in infants and small children by non-expert anaesthesiologists: a randomized prospective study. Br J Anaesth. 2013 Feb;110(2):281-6. doi: 10.1093/bja/aes383. Epub 2012 Nov 14.
- Background: PubMed 28688136Anantasit N, Cheeptinnakorntaworn P, Khositseth A, Lertbunrian R, Chantra M. Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial. J Ultrasound Med. 2017 Dec;36(12):2495-2501. doi: 10.1002/jum.14291. Epub 2017 Jul 8.
- Derived from this study: PubMed 38517311Kim JT, Park JB, Kang P, Ji SH, Kim EH, Lee JH, Kim HS, Jang YE. Effectiveness of head-mounted ultrasound display for radial arterial catheterisation in paediatric patients by anaesthesiology trainees: A randomised clinical trial. Eur J Anaesthesiol. 2024 Jul 1;41(7):522-529. doi: 10.1097/EJA.0000000000001985. Epub 2024 Mar 21.
- Individual participant dataSharing planned: Undecided
Related trials for Arterial Line
RecruitingObservational study
Impact of Blood Cultures Drawn From Arterial Lines on the Incidence of Contamination, Detection of Bacteremia, and Blood Culture Volume
Bacteremia
Not yet recruitingPhase 2
Epalrestat Combined With HAIC, Donafenib and Tislelizumab as First-line Treatment for Patients With Unresectable HCC and Diabetes
HCC - Hepatocellular Carcinoma, Diabetes
RecruitingPhase 2
Iparomlimab and Tuvonralimab With Lenvatinib, Radiotherapy, and HAIC for Hepatocellular Carcinoma With Portal Vein Tumor Thrombus
HCC - Hepatocellular Carcinoma
Recruiting
Adapted Cardiopulmonary Resuscitation Study
Cardiac Arrest (CA)
Not yet recruitingObservational study
The Efficacy and Safety of Donafenib Plus PD-1/L1 Monoclonal Antibodies Plus TACE or HAIC as First-line Treatment for Unresectable Hepatocellular Carcinoma A Multi-center, Retrospective Clinical Study
Hepatocellular Carcinoma (HCC)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jin-Tae Kim, MD, PhD principal investigator
Seoul National University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Smart glasses in people with Arterial Line, run by Seoul National University Hospital at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
First attempt success rate (time frame: During radial artery cannulation (up to 1 hour)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05030649, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Mar 2023.