Ultrasound-guided vs. palpation-guided techniques for radial arterial catheterisation in infants
| Autor: | Jong-Hwan Lee, Chee K Tay, Nam-Su Gil, Ji-Hyuk Yang, Sojin Kim, Jeong J Min, Tae-Gook Jun, Chung S Kim |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE Palpation law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law Catheterization Peripheral medicine Humans Single-Blind Method Ultrasonography Interventional medicine.diagnostic_test business.industry Arterial catheterisation Age Factors Infant Newborn Infant 030208 emergency & critical care medicine Ultrasound guided Anesthesiology and Pain Medicine Radial Artery Female Radiology Ultrasonography business |
| Zdroj: | European Journal of Anaesthesiology. 36:200-205 |
| ISSN: | 0265-0215 |
| DOI: | 10.1097/eja.0000000000000926 |
| Popis: | The usefulness of ultrasound-guided techniques for radial arterial catheterisation has been well identified; however, its usefulness has not been completely evaluated in infants under 12 months of age, who are generally considered the most difficult group for arterial catheterisation.We evaluated whether ultrasound guidance would improve success rates and reduce the number of attempts at radial arterial catheterisation in infants.A randomised, controlled and patient-blinded study.Single-centre trial, study period from June 2016 to February 2017.Seventy-four infants undergoing elective cardiac surgery.Patients were allocated randomly into either ultrasound-guided group (group US) or palpation-guided group (group P) (each n=37) according to the technique applied for radial arterial catheterisation. All arterial catheterisations were performed by one of two experienced anaesthesiologists based on group assignment and were recorded on video.The primary endpoint was the first-pass success. The number of attempts and total duration of the procedure until successful catheterisation were also analysed.The first-pass success rate was significantly higher in the group US than in the group P (68 vs. 38%, P = 0.019). In addition, fewer attempts were needed for successful catheterisation in the group US than in the group P (median 1 [IQR 1 to 2] vs. 2 [1 to 4], P = 0.023). However, the median [IQR] procedural time (s) until successful catheterisation in the two groups was not significantly different (102 [49 to 394] vs. 218 [73 to 600], P = 0.054).The current study demonstrated that the ultrasound-guided technique for radial arterial catheterisation in infants effectively improved first-pass success rate and also reduced the number of attempts required.ClinicalTrials.gov NCT02795468. |
| Databáze: | OpenAIRE |
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