Radial artery catheterization using a novel T-type ultrasound probe: a single-center randomized study.

Autor: Edanaga M; Department of Anesthesiology, Sapporo Medical University School of Medicine, S1, W16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan. naga16taka@gmail.com., Chaki T; Department of Anesthesiology, Sapporo Medical University School of Medicine, S1, W16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan., Osuda M; Department of Anesthesiology, NTT Medical Center Sapporo, Sapporo, Hokkaido, Japan., Yamakage M; Department of Anesthesiology, Sapporo Medical University School of Medicine, S1, W16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.
Jazyk: angličtina
Zdroj: Journal of anesthesia [J Anesth] 2024 Dec; Vol. 38 (6), pp. 879-883. Date of Electronic Publication: 2024 Jul 09.
DOI: 10.1007/s00540-024-03376-8
Abstrakt: Ultrasound guidance has been reported to facilitate radial artery catheterization compared with the palpation method. However, a recent meta-analysis showed that there was not significant differences in the first attempt success rate between the long-axis in-plane (LA-IP) method and the short-axis out-of-plane method. In 2023, we started using a novel T-type probe. We can recognize the needle first during the radial artery access with the short-axis view and then dose it with the long-axis view using the T-type probe. Therefore, we hypothesized that the T-type probe-guided method might heighten the first attempt success rate in radial artery catheterization, even for non-expert practitioners, compared with the LA-IP technique. One hundred and fifty adult patients, older than 20 years, ASA I to III, were randomly assigned to the T-type probe-guided group (Group T: n = 75) or the LA-IP group (Group L: n = 75). The primary outcome was the first attempt success rate. The first attempt success rate in Group T (49/71, 69%) was significantly higher than that in Group L (31/68, 46%) (p = 0.0062). The present study showed that the T-type probe might facilitate the radial artery catheterization rather than the LA-IP method.
Competing Interests: Declarations. Conflict of interest: The authors declare no conflicts of interest with respect of research, authorship, and publication of this article. Ethical approval: This study was approved by the institutional review board of Sapporo Medical University School of Medicine (342-175), and was registered in the UMIN Clinical Trial Registry (ID: UMIN000050117).
(© 2024. The Author(s) under exclusive licence to Japanese Society of Anesthesiologists.)
Databáze: MEDLINE
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