Ultrasound-guided arterial cannulation or by pulse palpation in the intensive care unit

Oulego-Erróz, Ignacio; Mayordomo-Colunga, Juan; González-Cortés, Rafael; Sánchez-Porras, María; Fuente, Ana Llorente-de la; Miguel, Sira Fernández-de; Balaguer-Gargallo, Mónica; Frías-Pérez, Manuel; Rodrı́guez-Núñez, Antonio; Porras, María Sánchez; Santos-Herraiz, Paula; García-Soler, Pilar; Clavero-Rubio, Carmen; Menéndez-Suso, Juanjo; Mirás-Veiga, Alicia; Fernández-Romero, Emilia; Pino-Velázquez, María; Renter-Valdovinos, Luis; Jiménez, Esther; Ortiz-Pallarés, Manuel; Martínez-Antón, Amalia; González-Ojeda, Virgina; Torrús-Carmona, Soledad; Barba, María-García; Palanca-Arias, Daniel; Holanda-Peña, María Soledad; González-Miño, Carolina

doi:10.1016/j.anpede.2019.12.014

Cited by 5 publications

(9 citation statements)

References 24 publications

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“…It is also noted that US guidance contributes more to targeted vessel puncture and causes less failures. 17,18 The most frequent cause of failure in our study was the inability to place a guide wire, and this was statistically higher in the palpation group, unlike previous studies. The second most common cause was inadvertent venous puncture.…”

Section: Discussioncontrasting

confidence: 85%

“…3,15,[21][22][23] However, in some studies, it has been reported that complication rates are similar in both techniques. 17 The complication rates were similar in our study, despite the lower number of attempts with US guidance compared to the palpation technique. We found discoloration and pallor of the leg in three patients in US group and seven patients in palpation group.…”

Section: Discussionsupporting

confidence: 77%

“…In adults and older children with larger vessels, femoral artery access can also be achieved with a high success rate by palpation technique. 6,17,18 However, small vessel diameter, anatomical variation, and potential thrombosis risk in neonates and infants can make access to femoral vessels impossible by landmark technique. 19,20 Because hematoma and vasospasm occur more often as the number of attempts increases, which prevents access to the already small femoral artery in these patients.…”

Section: Discussionmentioning

confidence: 99%

“…Oulego-Erroz et al 17 have reported that AC failure in pediatric patients is most often due to the inability to place a guide wire, and this is not affected with the use of US. It is also noted that US guidance contributes more to targeted vessel puncture and causes less failures.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of ultrasound-guided femoral artery cannulation versus palpation technique in neonates undergoing cardiac surgery

Salık

Bıçak

2021

J Vasc Access

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Objectives: Palpation technique for femoral artery cannulation can be very difficult, especially in neonates. In this study, we evaluated whether ultrasound-guided cannulation of the femoral artery is superior to palpation technique in neonates undergoing cardiac surgery. Methods: Forty neonates undergoing cardiac surgery were prospectively randomized into two groups (Ultrasound group and Palpation group). Access time, number of attempts, number of successful cannulations on first attempt, success rate, number of cannulas used, inadvertent access, and complications were compared between the two groups. Cost analyses of the cannulation were performed in two groups. Results: In the ultrasound group, access time for femoral artery cannulation was shorter (6.4 ± 3.0 and 10.2 ± 4.4, p = 0.003) and the number of attempts (1.4 ± 0.6 and 2.3 ± 0.8, p < 0.001) was lower compared to the palpation group. The number of successful cannulations on first-attempt (15 (75%) and 5 (25%), p = 0.002) and the success rate (95% (19) and 60% (12), p = 0.008) were higher in the ultrasound group. The number of cannulas used in the ultrasound group was less than the palpation group ( p = 0.001). The cost of intervention was higher in the palpation group compared to the ultrasound group ( p = 0.048). Conclusions: The ultrasound-guided cannulation of the femoral artery in neonates is superior to the palpation technique based on the increased of the number of successful first-attempt cannulation and success rate, and the reducing of the access time, number of attempts, number of cannulas used, and cost of cannulation.

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Section: Discussioncontrasting

confidence: 85%

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparison of ultrasound-guided femoral artery cannulation versus palpation technique in neonates undergoing cardiac surgery

Salık

Bıçak

2021

J Vasc Access

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“…This aspect also conditions pain and anxiety levels experienced by pediatric patients (Ferraz-Torres et al 2021;Gerçeker et al 2018). Therefore, in order to reduce the number of punctures and the length of time, the following resources have been identified to be effective: the use of vascular access visualization devices such as infrared devices (Galván Guzmán and Chacon Yance 2019) the ultrasound-guided approach or via ultrasound (Attie et al 2019;Mayordomo-Colunga et al 2019;Oulego-Erroz et al 2021;Sallam et al 2018). However, this kind of resources are underused at times (Elkhunovich et al 2017).…”

Section: Introductionmentioning

confidence: 99%

“Passive or interactive virtual reality? The effectiveness for pain and anxiety reduction in pediatric patients”

et al. 2022

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Invasive techniques such as venipuncture are painful procedures causing stress and anxiety, both in pediatric patients and in their carers. For this reason, efforts are being made to develop mitigating strategies for the patient’s pain and anxiety during the performance. To analyze and evaluate the effectiveness of the use of Virtual Reality distraction techniques as a measure of pain and anxiety reduction in pediatric patients and their parents. In addition, the effects of two modes of Virtual Reality (passive vs. interactive) were compared. A quasi-experimental study was carried out in the pediatric emergency department of a tertiary referral hospital in north Spain. The participants were children who underwent venipuncture for blood extraction and vascular cannulation. From the 124 patients, 51.6% (n = 64) were girls and 48.4% (n = 60) were boys (p = 0.574). The mean age was 8.4 years (SD: 4.1). The mean level of pain experienced was 2.33 (SD: 0.76) in the interactive VR group (n = 88) versus 2.67 (SD: 1.35) in patients with passive VR (n = 36) (p = 0.008); being the presence of anxiety in 27.3% (n = 24) of the cases treated with interactive Virtual Reality and in 88.9% (n = 32) of the patients with passive Virtual Reality (p = 0.000). The virtual reality is an effective method to reduce pain and anxiety levels in pediatric patients, with the effectiveness of interactive virtual reality and its use in the population aged 7–15 years being greater.

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Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

Kozyak

Fraga

Juliano³

et al. 2022

Pediatric Critical Care Medicine

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Umbilical venous cannulation is the favored approach to perinatal central access worldwide but has a failure rate of 25-50% and the insertion technique has not evolved in decades. Improving the success of this procedure would have broad implications, particularly where peripherally inserted central catheters are not easily obtained and in neonates with congenital heart disease, in whom umbilical access facilitates administration of inotropes and blood products while sparing vessels essential for later cardiac interventions. We sought to use real-time, point-of-care ultrasound to achieve central umbilical venous access in patients for whom conventional, blind placement techniques had failed.

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Ultrasound-guided arterial cannulation or by pulse palpation in the intensive care unit

Cited by 5 publications

References 24 publications

Comparison of ultrasound-guided femoral artery cannulation versus palpation technique in neonates undergoing cardiac surgery

Comparison of ultrasound-guided femoral artery cannulation versus palpation technique in neonates undergoing cardiac surgery

“Passive or interactive virtual reality? The effectiveness for pain and anxiety reduction in pediatric patients”

Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease

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