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Topical glyceryl trinitrate to increase radial artery diameter in neonates: study protocol for a randomized controlled trial

Overview of attention for article published in Revista Brasileira de Terapia Intensiva, January 2024
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Title
Topical glyceryl trinitrate to increase radial artery diameter in neonates: study protocol for a randomized controlled trial
Published in
Revista Brasileira de Terapia Intensiva, January 2024
DOI 10.62675/2965-2774.20240235-en
Pubmed ID
Authors

Deepika Wagh, Dinesh Pawale, Sanjay Patole, Shripada Rao

Abstract

Newborn infants admitted to the neonatal intensive care unit require arterial cannulation for hemodynamic monitoring and blood sampling. Arterial access is achieved through catheterization of umbilical or peripheral arteries. Peripheral artery cannulation is performed in critically ill newborns, but artery localization and cannulation is often challenging and unsuccessful. Therefore, increasing the internal diameter and preventing vasospasm are important for successful peripheral artery cannulation in neonates. Topical glyceryl trinitrate has the potential to increase cannulation success by relaxing arterial smooth muscles and thus increasing the internal diameter. We aim to conduct a pilot randomized controlled trial to evaluate the efficacy and safety of topycal glyceryl trinitrate in increasing the diameter of the radial artery in neonates. This study will be a single-center, observer-blind, randomized, placebo-controlled trial conducted in the neonatal intensive care unit of Perth Children's Hospital, Western Australia. A total of 60 infants born at >34 weeks of gestation who are admitted for elective surgery or medical reasons and for whom a peripheral arterial line is needed for sampling or blood pressure monitoring will be recruited after informed parental consent is obtained. The primary outcome will be the change in radial arterial diameter from baseline to postintervention. Secondary outcomes will be the absolute and percentage change from baseline in the radial arterial diameter in both limbs and safety (hypotension and methemoglobinemia). This will be the first randomized controlled trial evaluating the use of topical glyceryl trinitrate to facilitate peripheral artery cannulation in neonates. If our pilot randomized controlled trial confirms the benefits of glyceryl trinitrate patches, it will pave the way for large multicenter randomized controlled trials in this field.

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Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 April 2024.
All research outputs
#20,341,003
of 25,864,668 outputs
Outputs from Revista Brasileira de Terapia Intensiva
#229
of 365 outputs
Outputs of similar age
#237,523
of 359,854 outputs
Outputs of similar age from Revista Brasileira de Terapia Intensiva
#1
of 1 outputs
Altmetric has tracked 25,864,668 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 365 research outputs from this source. They receive a mean Attention Score of 3.4. This one is in the 35th percentile – i.e., 35% of its peers scored the same or lower than it.
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We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them