Comparison of conventional and ultrasound guided techniques of radial artery cannulation in different haemodynamic subsets: a randomised controlled study

Burad, Jyoti; Date, Rohit; Kodange, Sonali; Hashim, Abdul Hakeem Al; Nollain, Karin

doi:10.1007/s00134-016-4569-z

Cited by 10 publications

(6 citation statements)

References 5 publications

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“…The researchers emphasized that the US-guided method was found successful, especially in hypotensive patients. 22 There are a few limitations within this study. Only a single centre was used and the trial was not blinded.…”

Section: Discussionmentioning

confidence: 93%

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Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study

Seyhan

2021

J Vasc Access

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Background: Arterial puncture, for obtaining an analysis of blood gas, is an interventional procedure often performed in emergency departments and intensive care units. This study compares the ultrasound (US) guided method with the conventional digital palpation method in radial artery puncture (RAP) for blood gas analysis in septic shock patients. Methods: This is a prospective, single-centre study. Septic shock patients over 18 years of age who needed a RAP sample for blood gas analysis were included. Patients with local infection or trauma at the puncture site, arteriovenous fistula, vascular graft, coagulopathy, a positive Allen test, or did not want to participate were excluded. Patients were randomized into two groups and RAP was obtained with either the US-guided method or the conventional method. The main outcomes were success at first entry, the number of attempts before success, and the time to success. Results: The 50 eligible patients were randomized into two groups. First entry success rate for the US-guided group and the conventional group was 80% and 42%, respectively. The number of attempts before success and time to success was significantly higher in the conventional group. Conclusion: The US-guided method has been found to be more successful in terms of first entry success, the number of attempts before success, and the time to success when compared to the conventional method.

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Section: Discussionmentioning

confidence: 93%

“…The researchers emphasized that the US-guided method was found successful, especially in hypotensive patients. 22…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study

Seyhan

2021

J Vasc Access

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“…In anesthesia, critical care and emergency medicine, US guidance decreases first-attempt failures, mean attempts to success, mean time to success, and overall complications of arterial radial catheterization [6, 15]. However, the benefit seems greater in more difficult conditions, such as shock or hypotension [16]. In cardiology, radial access has become the vascular access of choice in acute coronary syndrome patients undergoing invasive management [17].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guidance in difficult radial artery puncture for blood gas analysis: A prospective, randomized controlled trial

Grandpierre¹,

Bobbia²,

Muller³

et al. 2019

PLoS ONE

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BackgroundUltrasound (US) guidance has yet to prove its applicability in radial arterial blood gas analysis (ABGA) punctures. The main objective of our study was to compare the number of first-attempt successes (NFAS) for radial arterial puncture in difficult patients with or without US guidance. The Secondary aims were to compare the number of punctures (NOP), puncture time, and patient pain.MethodsIn this single-center, randomized controlled trial, patients who required a radial ABGA and in whom the arterial puncture was assessed as difficult (because of non-palpable radial arteries or two previous puncture failures by a nurse) were assigned to the US group or no-US (NUS) group (procedure performed by a trained physician).ResultsThirty-six patients were included in the US group and 37 in the NUS groups. The NFAS was 7 (19%) in the NUS group and 19 (53%) in the US group. The relative risk of success in the US group was 2.79 (95% CI,1.34 to 5.82), p = 0.01. In the NUS and US groups, respectively, the median NOP was 3 [2; 6] vs. 1 [1; 2], estimated difference −2.0 (95%CI, −3.4 to −0.6), p < 0.01; the respective puncture time was 3.1 [1.6; 5.4] vs. 1.4 [0.6; 3.1] min, estimated difference −1.45 (95%CI, −2.57 to −0.39), p = 0.01; the respective median patient pain was 6 [4; 8] vs. 2 [1; 4], estimated difference −4.0 (95%CI, −5.8 to −2.3); p < 0.01.ConclusionUS guidance by a trained physician significantly improves the rate of success in difficult radial ABGA patients.

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“…In anesthesia, intensive care, and emergent medicine, radial artery catheterization (RAC) is a significant procedure, that allows real-time blood pressure administration and provides convenient blood sampling when needed. The ultrasound-guided catheterization has been widely accepted for the superiority of enhancing the success rate and reducing requirements for attempts and time (1)(2)(3)(4)(5), especially encountered the patients with hemodynamic unstable, obesity, edema, or with the artery of small size, tortuous, or spasm (6, 7). Nevertheless, further improvements remain moving forward to wrestle with complex circumstances and ensure consistency in outcomes.…”

Section: Introductionmentioning

confidence: 99%

The Improved Catheterization Is Associated With the Deeper Radial Arteries in Ultrasound-Guided Dynamic Needle Tip Positioning Technique

et al. 2022

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ObjectiveThis study aimed to determine the associations between the first-attempt success and arterial depth in ultrasound-guided radial artery catheterization (RAC) with dynamic needle tip positioning (DNTP) technique. This study also aimed to further explore the cut-off depth correlated to improved first-attempt success catheterization in less time.MethodsThe cases undertaken by RAC within the DNTP technique between March 2019 and July 2020 were extracted from our institutional cohort database. Relevant variables were collected, including patients' demographics and catheterized information. Univariable and multivariable logistic regression analyses were performed to determine the association. The receiver operating characteristic (ROC) curve and the Youden index were used to explore the cut-off values of the arterial depth. Categorized cases according to the cut-off values, the Kaplan-Meier analysis, and the log-rank test were used to determine the difference of first-attempt success with limited catheterized time between groups.ResultsIn this study, 119 patients were enrolled and 98 achieved first-attempt success. The first-attempt success catheterization was observed to be correlated to arterial depth (p < 0.01, odds ratio 6.47). An optimal cut-off depth of 2.25 mm was found using the Youden index (0.53) by ROC curve (area under curve 0.77). Arterial depth of more than 2.25 mm was correlated to improved first-attempt success catheterization in less time (log-rank p < 0.01).ConclusionTo achieve first-attempt success catheterization using the DNTP technique, an arterial depth of more than 2.25 mm was associated with less catheterized time.

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Comparison of conventional and ultrasound guided techniques of radial artery cannulation in different haemodynamic subsets: a randomised controlled study

Cited by 10 publications

References 5 publications

Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study

Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study

Ultrasound guidance in difficult radial artery puncture for blood gas analysis: A prospective, randomized controlled trial

The Improved Catheterization Is Associated With the Deeper Radial Arteries in Ultrasound-Guided Dynamic Needle Tip Positioning Technique

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