Ultrasound guidance for radial arterial puncture: a randomized controlled trial

Bobbia, Xavier; Grandpierre, Romain Genre; Claret, Pierre‐Géraud; Moreau, Alexandre; Pommet, Stéphane; Bonnec, Jean-Marie; Bayard, Rémi Perrin; Lefrant, Jean‐Yves; Muller, Laurent; Coussaye, Jean-Emmanuel de La

doi:10.1016/j.ajem.2013.01.029

Cited by 50 publications

(65 citation statements)

References 31 publications

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“…Finally, seven RCTs with a total of 482 patients fulfilled the criteria to be included in the meta-analysis [10]–[12], [18]–[21]. The Cohen К statistic for agreement on study inclusion was 0.93.…”

Section: Resultsmentioning

confidence: 99%

“…With respect to radial artery catheterization, a previous meta-analysis indicated that the use of ultrasound guidance improved the first-pass success rate [9]. Since then, a number of randomized controlled trials (RCTs) addressing this topic have reported inconsistent results [10]–[12]. In order to provide the latest and more solid evidence and minimize potential bias caused by limited publications, we performed an updated meta-analysis to further investigate the effect of ultrasound guidance for radial artery catheterization vs. traditional palpation with respect to first-attempt success and secondary clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound Guidance for Radial Artery Catheterization: An Updated Meta-Analysis of Randomized Controlled Trials

Tang

Wang

et al. 2014

PLoS ONE

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BackgroundSince a previous meta-analysis reported that ultrasound guidance was associated with a higher first-attempt success rate in catheterization of the radial artery, a number of randomized controlled trials (RCTs) have reported inconsistent results. The aim of the present study is to conduct an updated meta-analysis to clarify the role of ultrasound guidance for radial artery catheterization.MethodsA systematic literature search of PubMed, Embase, and Cochrane Central Register of Controlled Trials was conducted using specific search terms. Eligible studies were RCTs that compared ultrasound guidance with traditional palpation for radial artery catheterization. The Mantel-Haenszel method using the random effects model was adopted in this meta-analysis.ResultsSeven RCTs with 482 patients were included. Compared with traditional palpation, ultrasound guidance significantly increased the first-attempt success rate of radial artery catheterization (RR 1.51, 95% CI 1.07–2.14, P = 0.02). Subgroup analyses suggested that the superiority of ultrasound guidance for radial artery catheterization was significant when the technique was operated by experienced users, performed in small children and infants, and on elective procedures in the operating room. In addition, ultrasound guidance significantly reduced mean-attempts to success (WMD −1.13, 95% CI −1.58 to −0.69, P<0.00001), mean-time to success (WMD −74.77s, 95% CI −137.89s to −11.64s, P = 0.02), and the occurrence of hematoma (RR 0.17, 95% CI 0.07–0.41, P = 0.0001).ConclusionsThe present meta-analysis suggests a clear benefit from ultrasound guidance for radial artery catheterization compared with the traditional palpation. Preliminary training and familiarization with the ultrasound-guided technique is needed before applying it for radial artery catheterization, especially for inexperienced operators.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasound Guidance for Radial Artery Catheterization: An Updated Meta-Analysis of Randomized Controlled Trials

Tang

Wang

et al. 2014

PLoS ONE

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“…18,19 While both concluded that US use is associated with improved first-attempt success, a small underlying evidence base continued, and a majority of the included trials were dedicated to pediatric patients. Until 2014, there were only three included trials on adult patients; two were conducted in an emergency department setting, 14,20 and one was performed in the operating room setting. The perioperative trial involved a mixed cohort of residents and attending anesthesiologists, many of whom had no prior experience with US-guided radial artery catheterization.…”

mentioning

confidence: 99%

Ultrasound guidance versus direct palpation for radial artery catheterization by expert operators: a randomized trial among Canadian cardiac anesthesiologists

Peters

Schwarz

Yarnold

et al. 2015

Can J Anesth/J Can Anesth

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“…Only randomized, controlled trials with a Jadad score [10] of at least 2 were included. The studies by Bobbia et al [11], Hansen et al [12], Iwashima et al [13] and Eldabaa et al [14] were added to complete the analysis. No relevant published work addressing patients' values and preferences in relation to the subject of these expert guidelines was found.…”

Section: Literature Search and Selection Criteriamentioning

confidence: 99%