scholarly journals Radial artery pseudoaneurysm after a single arterial puncture for blood-gas analysis: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 6890 ◽  
Author(s):  
Vincenzo Leone ◽  
Daniele Misuri ◽  
Nico Console
Keyword(s):  
Case Report ◽  
Radial Artery ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Arterial Puncture ◽  
Blood Gas ◽  
Artery Pseudoaneurysm

scholarly journals Rare case of radial artery pseudoaneurysm protruding through skin after a single arterial puncture for blood-gas analysis

2021 ◽  
Vol 2 (2) ◽  
pp. 105-109
Author(s):  
Dimitrios Giotis ◽  
Vasileios Panagiotopoulos ◽  
Christos Konstantinidis ◽  
Paraskevi Vravoritou ◽  
Stefania N. Karampina ◽  
...  
Keyword(s):  
Radial Artery ◽  
Rare Case ◽  
Blood Gas Analysis ◽  
Skin Surface ◽  
Gas Analysis ◽  
Arterial Puncture ◽  
Blood Gas ◽  
Palpable Mass ◽  
Artery Pseudoaneurysm ◽  
Left Radial Artery

The pseudoaneurysm of the radial artery is an infrequent complication mainly after iatrogenic procedures, with an increased incidence over the last years. The aim of the current study was to present a rare case of a radial artery pseudoaneurysm that projected through the skin after a single arterial puncture for blood-gas analysis. A 79-year-old man, with a history of atrial fibrillation and coronary heart disease on anticoagulants, was admitted to the cardiological intermediate care unit, with pulmonary oedema due to heart failure deregulation. On the next day, his left radial artery was punctured for blood-gas analysis. No other catheterization of the vessel was executed in the following days. Six days later a pulsatile, palpable mass on the skin surface, over the site of puncture, was recognized. Subsequently a Doppler ultrasound that was performed, confirmed the diagnosis of pseudoaneurysm. The pseudoaneurysm was surgically removed under general anesthesia. The patient was hospitalized for four days for trauma monitoring and intravenous antibiotics and afterwards he was discharged from the Hospital. Three months postoperatively, no sign of recurrence was observed. The pseudoaneurysm of the radial artery is an uncommon complication that might occur even after simple iatrogenic procedures, like after a direct arterial puncture for blood-gas analysis. Therefore, specialists should always be aware of this complication in similar cases.

scholarly journals Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: a randomized controlled trial

2021 ◽  
Author(s):  
Avni Uygar Seyhan ◽  
Rohat Ak
Keyword(s):  
Septic Shock ◽  
Radial Artery ◽  
Conventional Method ◽  
Interventional Procedure ◽  
Controlled Trial ◽  
Randomized Study ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Arterial Puncture ◽  
Blood Gas

Background: Arterial puncture, for obtaining an analysis of blood gas, is an interventional procedure often performed in emergency departments and intensive care units. Our goal in this study is to compare the traditional method and ultrasound (US) guided method in radial artery puncture for blood gas analysis in septic shock patients. Methods: This is a prospective, randomized study. Septic shock patients over 18 years of age who needed a radial artery puncture sample for blood gas analysis were included in the study. Patients with local infection or trauma at the puncture site, arteriovenous fistula, vascular graft, coagulopathy, Allen test positive and those who did not want to participate in the study were excluded. Patients were randomized into 2 groups: radial arterial puncture obtained through an US guided technique or radial arterial puncture by conventional method. The main outcomes are success at the first entry, the number of attempts and time to success after enrollment. Results: 50 eligible patients were randomized into two groups. The success rate of the first puncture in the ultrasound group and the palpation group was 80% and 42%, respectively. The number of attempts and time to success significantly increased in conventional group. Conclusion: The US-guided method has been found to be more successful in terms of success at the first entry, number of attempts, time to success compared to the conventional method.

Arterial Puncture for Blood Gas Analysis

2011 ◽  
Vol 364 (5) ◽  
pp. e7 ◽  
Author(s):  
Shelly P. Dev ◽  
Melinda D. Hillmer ◽  
Mauricio Ferri
Keyword(s):  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Arterial Puncture ◽  
Blood Gas

scholarly journals Ultrasound guidance in difficult radial artery puncture for blood gas analysis: A prospective, randomized controlled trial

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213683
Author(s):  
Romain Genre Grandpierre ◽  
Xavier Bobbia ◽  
Laurent Muller ◽  
Thibaut Markarian ◽  
Bob-Valéry Occéan ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Radial Artery ◽  
Ultrasound Guidance ◽  
Controlled Trial ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Blood Gas ◽  
Randomized Controlled ◽  
Prospective Randomized Controlled Trial

scholarly journals EFFECT OF TIME ON THE ARTERIAL BLOOD GAS ANALYSIS

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Hitesh Shah ◽  
Bhavika Patel
Keyword(s):  
Room Temperature ◽  
Sampling Methods ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Arterial Puncture ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Repeat Analysis ◽  
Arterial Blood ◽  
Arterial Blood Gas Analysis

The present study was done to find out whether there is any change occurring during delay in ABG analysis. In our study we first took baseline reading and from the remaining blood sample, stored at room temperature, repeat analysis were done from it after 30minute, 60 minute and after 90 minute and the change in result is compared with the baseline result. In our study if the sample is stored for more than 30 minutes at room temperature  there is no significant changes occurs in pH, pCo2, but there is significant change in the pO2. The value of pO2 increase 20.23 mmHg if the sample is stored for more than 30 minutes at room temperature. In our study although the changes in pH, pCo2 are statistically greater in sample kept at room temperature, those changes do not appear to have major clinical significance until the time of analysis after arterial puncture exceeds 90 minutes. The PCO2 remained very stable with the different sampling methods. In our study there is no significance change found in Hco3- and O2sat if sample is stored for more than 30 minutes at room temperature. Keywords: ABG analysis; PCO2 ; pH; Arterial puncture; ABG analyzer

Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study

2021 ◽  
pp. 112972982110232
Author(s):  
Avni Uygar Seyhan ◽  
Rohat Ak
Keyword(s):  
Septic Shock ◽  
Radial Artery ◽  
Conventional Method ◽  
Interventional Procedure ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Conventional Group ◽  
Blood Gas ◽  
Digital Palpation ◽  
The Us

Background: Arterial puncture, for obtaining an analysis of blood gas, is an interventional procedure often performed in emergency departments and intensive care units. This study compares the ultrasound (US) guided method with the conventional digital palpation method in radial artery puncture (RAP) for blood gas analysis in septic shock patients. Methods: This is a prospective, single-centre study. Septic shock patients over 18 years of age who needed a RAP sample for blood gas analysis were included. Patients with local infection or trauma at the puncture site, arteriovenous fistula, vascular graft, coagulopathy, a positive Allen test, or did not want to participate were excluded. Patients were randomized into two groups and RAP was obtained with either the US-guided method or the conventional method. The main outcomes were success at first entry, the number of attempts before success, and the time to success. Results: The 50 eligible patients were randomized into two groups. First entry success rate for the US-guided group and the conventional group was 80% and 42%, respectively. The number of attempts before success and time to success was significantly higher in the conventional group. Conclusion: The US-guided method has been found to be more successful in terms of first entry success, the number of attempts before success, and the time to success when compared to the conventional method.

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