Effect of local warming for arterial catheterization in adult cardiac surgery: a randomized controlled trial.

Autor:	Park S; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Korea., Kim HJ; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Korea., Heo W; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea., Shin SW; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Korea., Yoon JU; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Korea., Byeon GJ; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Korea., Lee J; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea., Jung J; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea., Kim HY; Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Korea.
Jazyk:	angličtina
Zdroj:	Journal of thoracic disease [J Thorac Dis] 2023 Oct 31; Vol. 15 (10), pp. 5330-5339. Date of Electronic Publication: 2023 Sep 18.
DOI:	10.21037/jtd-23-820
Abstrakt:	Background: The increase in internal diameter (ID) and cross-sectional area (CSA) may facilitate better arterial catheterization. Since an increase in body temperature can cause peripheral vasodilation, we aimed to determine if local warming of the radial artery (RA) catheterization site could improve the success rate of catheterization. Methods: This randomized, controlled study enrolled 160 patients aged >18 years who were scheduled for heart surgery. They were randomized into non-warming palpation (NP), non-warming ultrasonography-guided (NU), warming palpation (WP), and warming ultrasonography-guided (WU) groups. After induction, the baseline RA ultrasonography images were collected. In the warming groups (WP, WU), local warming was applied on the catheterization site. Before catheterization, the RA ultrasonography images were collected. The primary outcome was the first-attempt success rate. The secondary outcomes included the ID and CSA of the RA and overall complications. Results: Totally 152 adults were included in the analysis. The first-attempt success rates in each of the four groups were not significantly different (P=0.985). The rates in the non-warming (NP + NU) and warming (WP + WU) groups were also not different (P=0.827). Unlike non-warming group, the warming group had increased ID (3.34±0.78 vs. 3.02±0.73 mm; P<0.001) and CSA (6.9±2.8 vs. 5.8±2.4 mm 2 ; P<0.001) compared with baseline. Conclusions: Local warming for peripheral artery catheterization does not increase the first-attempt success rate in adults undergoing cardiac surgery; however, it can increase the ID and CSA of the RA and prevent vasospasm. Trial Registration: ClinicalTrials.gov NCT04969692. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-23-820/coif). The authors have no conflicts of interest to declare. (2023 Journal of Thoracic Disease. All rights reserved.)
Databáze:	MEDLINE
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