Dorsal radial artery catheterization for invasive blood pressure monitoring

Nunes, Roosevelt Santos; Tamaki, Camila Mussolin; Penha, Heloisa Helena Robles; Terra, Julia Carvalho Mafra; Figueiredo, Geraldo Luiz de; Teixeira, Gil Cezar Alkmin

doi:10.5935/0103-507x.20200022

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…The results indicated that the difference between positive-pressure connector and heparin cap connector in invasive blood pressure monitoring lies in the possibility of causing complications, which is not closely related to the accuracy of blood pressure monitoring results. This result is similar to the one proposed by Nunes et al ( 2 ) that the results of invasive blood pressure monitoring are independent of arterial puncture. The defect of the heparin cap three-way switch used in the control group is that the screw cap of the three-way switch needs to be removed when blood samples are collected.…”

Section: Discussionsupporting

confidence: 92%

“…Importantly, the measurement is accurate and reliable and can be obtained at any time ( 1 ). This method is generally applied to ambulate blood pressure monitoring of critically ill patients ( 1 , 2 ). Coronary interventional therapy is a common measure for the treatment of coronary heart disease.…”

Section: Introductionmentioning

confidence: 99%

“…Invasive blood pressure monitoring can obtain the complete blood pressure changes in patients with coronary artery interventional therapy, making it convenient for the treatment. However, invasive blood pressure monitoring is prone to infection, residual air at the junction, thrombosis, and other risk factors, and thrombosis at the junction is likely to cause embolism when it enters the artery of the patient, thus exacerbating the patient's condition ( 2 ). The heparin cap connector is a three-way switch connector, and the pipelines connected with the three-way switch connector lead to the artery end, the pressure sensor end, and the air end, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Application Analysis of Positive-Pressure Connector in Invasive Blood Pressure Monitoring in Coronary Interventional Therapy

et al. 2021

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Background: In order to reduce the risk of invasive blood pressure monitoring and improve the safety and efficiency, this article mainly analyzes the effectiveness and safety of using positive-pressure connector for invasive blood pressure monitoring in patients with coronary artery interventional therapy, so as to improve the invasive blood pressure monitoring method.Aim: To study and analyze the application of positive-pressure connector in invasive blood pressure monitoring in coronary interventional therapy.Methods: From October 2017 to October 2019, a total of 120 patients admitted to Cangzhou Central Hospital, Cangzhou, Hebei, China, for coronary interventional therapy with invasive blood pressure monitoring were selected and divided into a control group and an experimental group by drawing lots with 60 patients in each group. Positive-pressure connector was used for invasive blood pressure detection in the experimental group, and heparin cap connector was used for invasive blood pressure detection in the control group. The effectiveness and safety of blood pressure monitoring in the two groups were compared, and the influence of different joints on invasive blood pressure monitoring was analyzed.Results: The influencing factors of puncture efficiency in the experimental group (6.67%) were significantly lower than those in the control group (30.00%) (P < 0.05). There was no significant difference in catheter bending between the experimental group and the control group (P > 0.05). The experimental group exhibited a remarkably higher puncture safety rate (93%) compared to the control group (67%) (P < 0.05). There was no significant difference in arterial blood pressure between the two groups with different indwelling time (P > 0.05). The frequency of extubation and reinsertion in the experimental group was significantly lower than that in the control group (P < 0.05). Factors influencing puncture safety in the experimental group were significantly lower than those in the control group (P < 0.05).Conclusion: The use of positive-pressure connector for invasive blood pressure monitoring in patients with coronary artery interventional therapy can greatly improve the safety of blood pressure monitoring and reduce the suffering of patients. Therefore, the application of positive-pressure connector in invasive blood pressure monitoring is worthy of promotion and application in clinical practice.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Application Analysis of Positive-Pressure Connector in Invasive Blood Pressure Monitoring in Coronary Interventional Therapy

et al. 2021

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“…Dorsal radial artery cannulation is a relatively less evaluated technique and may offers some advantages over classic radial artery cannulation. 5,6 This artery is located by palpation of the pulse on the dorsum of the hand, between the bases of the first and second metacarpals, in the “anatomical snuffbox.” 5,7 The palmar branch of the radial artery, which contributes to the superficial palmar arch, arises from the radial artery in the volar side of the wrist before entering the anatomical snuffbox (Figure 1). Catheterizing the dorsal radial artery has the advantage of cannulating more distally than with the traditional trans-radial approach, beyond the origin of the palmar branch.…”

Section: Introductionmentioning

confidence: 99%

Comparison of ultrasound guided dorsal radial artery cannulation and conventional radial artery cannulation at the volar aspect of wrist: A pilot randomized controlled trial

et al. 2022

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Background: Distal radial artery cannulation at the “anatomical snuffbox” carries several theoretical advantages over conventional radial arterial cannulation at the wrist. However, these two techniques have not been evaluated in perioperative settings. Methods: In this randomized controlled trial, n = 200 patients requiring arterial cannulation for perioperative monitoring were recruited. Patients were randomized to either ultrasound guided distal radial artery cannulation group (group D) or ultrasound guided conventional radial artery cannulation group (group W). Primary outcome of this study was first attempt cannulation success rate. Results: First attempt cannulation success rate was significantly lower in distal radial artery cannulation (57% in group D and 77% in group W; p = 0.003). Use of alternative cannulation site was significantly higher in group D when compared to group W ( p = 0.015) and number of attempts for successful cannulation was significantly higher in group D when compared to group W ( p = 0.015). None of the patients in any group developed thrombosis and related complications and intraoperative catheter dislodgement. Time to puncture the artery ( p < 0.0001), total cannulation time ( p < 0.0001), and actual catheter insertion time ( p < 0.0001) were significantly higher in group D in comparison to group W. Conclusion: Distal radial artery cannulation was associated with lower first attempt cannulation success rate and requires longer time to perform. As distal radial artery is a new technique, further studies are required in different clinical settings.

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Distal radial access and postprocedural ultrasound evaluation of proximal and distal radial artery

Hořák

Bernát

Jirouš

et al. 2022

Cardiovasc Interv and Ther

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Dorsal radial artery catheterization for invasive blood pressure monitoring

Cited by 3 publications

References 8 publications

Application Analysis of Positive-Pressure Connector in Invasive Blood Pressure Monitoring in Coronary Interventional Therapy

Application Analysis of Positive-Pressure Connector in Invasive Blood Pressure Monitoring in Coronary Interventional Therapy

Comparison of ultrasound guided dorsal radial artery cannulation and conventional radial artery cannulation at the volar aspect of wrist: A pilot randomized controlled trial

Distal radial access and postprocedural ultrasound evaluation of proximal and distal radial artery

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