Radial artery puncture: a comparison of threehaemostatic techniques

Capewell, Simon; Ali, N.J.; Makker, Himender; Cockwell, Paul; Davies, David; Rogers, Steven K.; Gray, M. Y.; Gillies, Alastair

doi:10.1016/s0954-6111(08)80115-1

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The catheter was removed under direct vision by ultrasound in the experimental group and according to the traditional method in the control group. Pressurization was performed for 5 min after pulling out the needle [ 21 , 25 ] by two trained anaesthesia nurses chosen randomly. The control group was treated with traditional manual compression haemostasis: the fixed applicator was removed and disinfected with iodophor cotton swab, centred on the puncture point, with a range larger than 10 cm.…”

Section: Methodsmentioning

confidence: 99%

“…The application of compression haemostasis using an ultrasonic probe has been used in the previous nonsurgical treatment of iatrogenic femoral artery pseudoaneurysms [ 18 – 20 ]. Capewell et al studied the haemostatic effect of manual compression of the radial artery using different operators as early as the 1990s [ 21 ]. It is obvious that ultrasound has not been fully recognized for its value in this process.…”

Section: Introductionmentioning

confidence: 99%

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To Explore the Haemostatic Effect of Compression Haemostasis Using an Ultrasonic Probe under the Guidance of Ultrasound after Radial Artery Puncture

2021

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Objective. To evaluate a new haemostasis method using an ultrasound probe to compress the radial artery and haemostasis under direct vision to replace traditional manual compression of the radial artery. Methods. According to a random number table, 240 patients with gastrointestinal tumours who had undergone arterial puncture were divided into Group A (120 cases) and Group B (120 cases). In Group A, patients were under the guidance of ultrasound to confirm the vascular port, determine the compression position of the ultrasound probe, observe the degree of vascular deformation, and press the radial artery puncture port with pressure to stop bleeding under direct vision. In Group B, traditional manual compression was used. All patients received 5 min of compression for haemostasis, and haemostasis conditions were recorded after compression and 24 hours postoperatively. Results. The incidence of bleeding, haematoma, and skin ecchymosis at the puncture site after 5 minutes of compression in Group A was lower than that in Group B ( P < 0.05 ). No significant difference was found between the two groups at 24 hours after the operation ( P > 0.05 ). Conclusion. The method using an ultrasound probe to guide radial artery compression to haemostasis is better than traditional manual compression when applied for compression haemostasis after removing the radial artery catheter.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

To Explore the Haemostatic Effect of Compression Haemostasis Using an Ultrasonic Probe under the Guidance of Ultrasound after Radial Artery Puncture

2021

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“…Till 2006, only 22 cases of radial artery aneurysms were reported in the literature [12]. Less severe adverse events such as hematoma after radial artery puncture occur in up to 59% of the patients [13].…”

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confidence: 99%

Correlation and Agreement Between Arterial and Venous Blood Gas Analysis in Patients with Hypotension - An Emergency Department Based Cross Sectional Study

Prasad

Vempalli

Agrawal

et al. 2022

Preprint

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Background Blood gas analysis is integral to assessing emergency department (ED) patients with acute respiratory or metabolic disease. Arterial blood gas (ABG) is the gold standard for oxygenation, ventilation, and acid-base status but is painful to obtain. Peripheral venous blood gas (VBG) is a valuable alternative as it is less painful and easy to collect. The comparability of ABG and VBG was studied in various conditions. But in hypotension, comparability is still a concern. So, we studied the correlation and agreement between ABG and VBG in hypotensive patients. Methodology: The study was conducted at the emergency department of a tertiary healthcare center in Northern India. Patients with hypotension above 18 years of age who satisfied the inclusion criteria were clinically evaluated. Patients who require ABG as a part of routine care were sampled. ABG was collected from the radial artery at the wrist level. VBG was obtained from the cubital or dorsal hand veins. Both samples were collected within 10 minutes and were analyzed. All ABG and VBG variables were entered in premade proforma. The patient was then treated and disposed of according to institutional protocol. Results Two hundred fifty patients were enrolled. The mean age was 53.25 ± 15.71 years. 56.8% were male. The study included 45.6% septic, 34.4% hypovolemic, 18% cardiogenic, and 2% obstructive shock patients. The study found a strong correlation and agreement for ABG and VBG pH, pCO2, HCO3, lactate, sodium, potassium, chloride, ionized calcium, blood urea nitrogen, base excess, and arterial/alveolar oxygen ratio. Hence, regression equations were made for the aforementioned. There was no correlation observed between ABG and VBG pO2 and SpO2. Our study concluded that VBG could be a reasonable alternative for ABG in hypotensive patients. We can also mathematically predict values of ABG from VBG using regression equations derived. Conclusions The study has shown strong correlations and agreements for most ABG and VBG parameters except pO2 and SO2. The study can predict an ABG mathematically using regression formulas formulated from a VBG. This will decrease needle stick injury, consume less time, and make blood gas evaluation easy in hypotensive settings.

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A meta-analysis on the utility of peripheral venous blood gas analyses in exacerbations of chronic obstructive pulmonary disease in the emergency department

Lim

Kelly

2010

European Journal of Emergency Medicine

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The objective of this case-based review is to identify and summarize the relevant evidence for the clinical utility of peripheral venous blood gas (pVBG) analyses in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) treated in the emergency department. Relevant studies were identified using the Cochrane Library, Medline, Embase, and CINAHL databases and by hand searching of references of published articles. Included studies were prospective trials comparing arterial and pVBG results in patients with COPD or respiratory distress that reported at least average differences and/or limits of agreement between the two results in English. Outcomes of interest were agreement between arterial and pVBG values for pH, pCO2, pO2, and HCO3. Eighty-nine studies were identified of which six were relevant. The weighted average difference for pCO2 was 5.92 mmHg, whereas those for pH, pO2, and HCO3 were 0.028, 18.65 mmHg, and 1.34 mEq/l, respectively. Using Bland-Altman analysis, the 95% limits of agreement were in the range of -0.10 to 0.08, -17 to 26 mmHg and, -3.5 to 3.5 mEq/l for pH, pCO2, and HCO3, respectively. Reported cutoff pVBG pCO2 values for screening of arterial hypercarbia ranged from 30 to 46 mmHg. No studies investigated the role of pVBG analysis in treatment alteration or clinical outcomes. Available evidence suggests that there is good agreement for pH and HCO3 values between arterial and pVBG results in patients with COPD, but not for pO2 or pCO2. Widespread clinical use is limited because of the lack of validation studies on clinical outcomes.

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Radial artery puncture: a comparison of threehaemostatic techniques

Cited by 4 publications

References 7 publications

To Explore the Haemostatic Effect of Compression Haemostasis Using an Ultrasonic Probe under the Guidance of Ultrasound after Radial Artery Puncture

To Explore the Haemostatic Effect of Compression Haemostasis Using an Ultrasonic Probe under the Guidance of Ultrasound after Radial Artery Puncture

Correlation and Agreement Between Arterial and Venous Blood Gas Analysis in Patients with Hypotension - An Emergency Department Based Cross Sectional Study

A meta-analysis on the utility of peripheral venous blood gas analyses in exacerbations of chronic obstructive pulmonary disease in the emergency department

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