The Use of Topical Nitroglycerin to Facilitate Radial Arterial Catheter Insertion in Children: A Randomized Controlled Trial
| Autor: | Amel Aboelela, Rehab Mohamed Mansour, Ahmed Kareem, Ahmed Hasanin, Maha Mostafa |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Catheters Punctures 030204 cardiovascular system & hematology Arterial cannulation law.invention 03 medical and health sciences Nitroglycerin 0302 clinical medicine Primary outcome Randomized controlled trial 030202 anesthesiology law medicine.artery Catheterization Peripheral medicine Humans Radial artery Child business.industry University hospital Cardiac surgery Anesthesiology and Pain Medicine Anesthesia Child Preschool Radial Artery Ultrasonography Cardiology and Cardiovascular Medicine business Arterial catheter insertion |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 34(12) |
| ISSN: | 1532-8422 |
| Popis: | Objectives To determine whether the use of topical nitroglycerin patch increases radial artery diameter and facilitate cannulation in children. Design Randomized controlled trial. Setting Cairo University Hospital. Participants Children aged 2 to 8 years old scheduled for cardiac surgery. Intervention In the nitroglycerin group (n = 20), a gauze-covered, half-sized nitroglycerin patch (5 mg) was applied at the site of radial pulsation 1 hour before induction of anesthesia. In the control group (n = 20), a gauze pad was applied to the bare skin at the site of radial pulsation with no intervention. Measurements and Main Results The primary outcome was the diameter of the radial artery in both limbs using ultrasonography. Other outcomes included the degree of arterial palpability, number of arterial punctures, and incidence of successful first puncture cannulation. The radial artery diameter increased after 30 minutes and 60 minutes compared with the baseline value in the nitroglycerin group in both limbs, whereas no change was reported in the radial artery diameter in the control group. The nitroglycerin group showed a greater incidence of successful first cannulation trial, a fewer number of trials, and a shorter cannulation time compared with the control group. There were no significant hypotensive episodes in any patient. Conclusion Local application of a half-sized, 5 mg nitroglycerin patch for 60 minutes in children increased the radial artery diameter bilaterally, increased the rate of first trial success, and decreased the time needed for arterial cannulation without significant hypotensive episodes. |
| Databáze: | OpenAIRE |
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