Femoral versus radial arterial pressure monitoring in cardiac surgery patients: protocol for a randomised controlled multicentric superiority trial (FERARI).

ABSTRACT:

Background

Accurate arterial pressure monitoring is critical in cardiac surgery to guide haemodynamic management and vasopressor therapy. Radial arterial pressure monitoring may systematically underestimate central aortic pressure compared with femoral monitoring, potentially leading to inappropriate vasopressor escalation and associated complications. Recent evidence demonstrates that excessive norepinephrine exposure is associated with acute kidney injury and increased mortality in cardiac surgery patients.

Objective

To determine whether femoral arterial pressure monitoring reduces norepinephrine use compared with radial monitoring in cardiac surgery patients.

Methods and analysis

This is a prospective, randomised, controlled, single-blind, superiority trial conduct

SUBMITTER: Guinot PG 

PROVIDER: S-EPMC12853472 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature