Comparison of success rates of different methods of Ultrasound guided radial artery cannulation (short axis and long axis methods) against traditional palpatory method in adult patients- a prospective randomised study.

2021 ◽  
Author(s):  
Mounica Rajasekar ◽  
◽  
Senthilkumar Sukumar ◽  
Venkatesh Selvaraj ◽  
◽  
...  
Keyword(s):  
Radial Artery ◽  
Adult Patients ◽  
Short Axis ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Radial Artery Cannulation ◽  
Randomised Study ◽  
Artery Cannulation ◽  
Prospective Randomised Study

scholarly journals A Randomized Controlled Trial of Radial Artery Cannulation Guided by Modified Long Axis Ultrasound Versus Short Axis Ultrasound Versus Palpation

2020 ◽  
Author(s):  
Jiebo Wang ◽  
Liangcheng Zhang ◽  
Zisong Zhao ◽  
Zhongmeng Lai ◽  
Qijian Huang ◽  
...  
Keyword(s):  
Success Rate ◽  
Radial Artery ◽  
Controlled Trial ◽  
Short Axis ◽  
Ultrasound Guided ◽  
Radial Artery Cannulation ◽  
Artery Cannulation ◽  
Out Of Plane ◽  
Cannulation Success Rate ◽  
Cannulation Success

Abstract Background: Given the low first-pass success rate of the conventional short-axis (SAX) or long-axis (LAX) approach, ultrasound-guided radial artery cannulation in adults with radial artery diameters less than 2.2 mm may still be challenging. In this study, we compare the efficacy of modified long-axis in-plane(M-LAIP) versus short-axis out-of-plane (SAOP) or conventional palpation(C-P) approaches for ultrasound-guided radial artery cannulation.Methods: This was a prospective, randomized and controlled trial, conducted from 1 July 2018 to 24 November 2018. A total of 201 patients (age 18 to 85 years, the diameter of the radial artery less 2.2 mm) were included. All patients were randomized 1:1:1 to the M-LAIP, SAOP or conventional palpation (C-P) approach. The primary outcome was the cannulation success rate. Secondary outcomes included first location time and cannulation time, number of attempts. The Chi-square (χ2) test was used to compare categorical data between 3 groups.Results: The cannulation success rate was significantly higher in the M-LAIP group than in the SAOP or C-P groups (first success rate: 80.3% vs 53.8% or 33.8%; p < 0.001; total success rate: 93.9% vs 78.5% or 50.8%; p < 0.001). First location time (seconds) was significantly longer in the M-LAIP group (31(28-35[12-44])) than in the SAOP (15(14-17[10-21]); p < 0.001) and C-P groups (12(8-13.5 [6-37]). However, the cannulation time (seconds) in the M-LAIP group (29(24-45[16-313])) was significantly shorter than that in the SAOP (45(28.5-135.5[14-346]); p = 0.002) and the C-P groups (138(27-308[12-363]); p < 0.001). The number of attempts was lower in the M-LAIP group compared with SAOP or C-P group (1.29±0.63 vs 1.8±0.89 or 2.22±0.93, p < 0.001).Conclusions: The use of the M-LAIP approaches significantly improved the success rate of radial artery cannulation in adults with radial artery diameters less than 2.2 mm, compared with that achieved with the use of traditional short-axis out-of-plane approach.Trial registration: ClinicalTrials.gov; No: ChiCTR-IOR-17011474; URL: http: // www. chictr.org. cn/index.aspx. Registered 24 June 2018.

scholarly journals Dynamic needle tip positioning versus the angle-distance technique for ultrasound-guided radial artery cannulation in adults: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bing Bai ◽  
Yuan Tian ◽  
Yuelun Zhang ◽  
Chunhua Yu ◽  
Yuguang Huang
Keyword(s):  
Success Rate ◽  
Radial Artery ◽  
Posterior Wall ◽  
Surgical Patients ◽  
Arterial Cannulation ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Radial Artery Cannulation ◽  
Artery Cannulation ◽  
First Pass

Abstract Background Ultrasound guidance can increase the success rate and reduce the incidence of complications of arterial cannulation. There are few studies on the utility of the dynamic needle tip positioning (DNTP) technique versus the angle-distance (AD) technique for ultrasound-guided radial arterial cannulation in adult surgical patients. We assessed and compared the success rates and incidences of complications of these two short-axis out-of-plane techniques. Methods A total of 131 adult surgical patients were randomized into DNTP and AD groups to undergo ultrasound-guided radial artery cannulation. The primary outcome was first-pass success without posterior wall puncture. The secondary outcomes included the first-pass success rate, 10-min overall success rate, cannulation time, posterior wall puncture, and the number of skin punctures. Results The first-pass success rates without posterior wall puncture were 53.8% in the DNTP group and 44.6% in the AD group (RR = 1.22, 95% CI: 0.86–1.72; P = 0.26). The cannulation time was significantly longer (P = 0.01) in the DNTP group [79.65 (54.3–109.4) seconds] than in the AD group [47.6 (24.9–103.8) seconds]. The posterior wall puncture rate was significantly lower (P = 0.002) in the DNTP group (29.2%) than in the AD group (56.1%; RR = 0.56, 95% CI: 0.42–0.82). Conclusions There were no significant differences in the first-pass success rate, with or without arterial posterior wall puncture, or in the 10-min overall success rate between the DNTP and AD groups. However, the cannulation time was longer and the posterior wall puncture rate was lower in the DNTP group. Trial registration The trial was registered at www.clinicaltrials.gov (No: NCT03656978). Registered 4 September 2018.

scholarly journals Radial Artery Cannulation — The influence of method on blood flow after decannulation

1986 ◽  
Vol 14 (4) ◽  
pp. 400-403 ◽  
Author(s):  
K. D. Cronin ◽  
M. J. Davies ◽  
C. M. Domaingue ◽  
M. J. Worner ◽  
E. Koumoundouros
Keyword(s):  
Radial Artery ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Radial Artery Cannulation ◽  
Randomised Study ◽  
Artery Cannulation ◽  
Significant Difference ◽  
Thrombosis Rate ◽  
Haematoma Formation ◽  
Prospective Randomised Study

A prospective randomised study of two hundred patients undergoing open-heart surgery was carried out to determine if the method of radial artery cannulation (direct threading or transfixion) had any influence on the incidence of abnormal flow after decannulation. A standard 20-gauge non-tapered teflon-coated cannula was used and the groups were well matched for age, sex, wrist circumference, duration of cannulation and haematoma formation, all of which have been postulated to influence thrombosis rate. We were unable to demonstrate a statistically significant difference between the two methods of cannulation. The overall abnormal flow rate at five days assessed by Doppler ultrasound was low at 5%.

scholarly journals Modified Long-Axis In-Plane Ultrasound Versus Short-Axis Out-of-Plane Ultrasound For Radial Arterial Cannulation: A Prospective Randomized Controlled Trial

2019 ◽  
Author(s):  
Jiebo Wang ◽  
Liangcheng Zhang ◽  
Qijian Huang ◽  
Zhongmeng Lai ◽  
Guohua Wu ◽  
...  
Keyword(s):  
Success Rate ◽  
Radial Artery ◽  
Controlled Trial ◽  
Short Axis ◽  
Ultrasound Guided ◽  
Radial Artery Cannulation ◽  
Artery Cannulation ◽  
Out Of Plane ◽  
Cannulation Success Rate ◽  
Cannulation Success

BACKGROUNDGiven a low first-pass success rate of the conventional SAX (short-axis) or LAX (long-axis) approach, ultrasound-guided radial artery cannulation in adults with radial artery diameter less than 2.2 mm may be still challenging.OBJECTIVETo assess the efficacy of modified long-axis in-plane(M-LAIP) versus short-axis out-of-plane (SAOP) or conventional palpation(C-P) approaches for ultrasound-guided radial artery cannulation.DESIGNA prospective, randomized and controlled trial.SETTINGOperating room in a tertiary university hospital, from 1 July 2018 to 24 November 2018.PATIENTSA total of 201 patients (age 18 to 85 years, the diameter of the radial artery less 2.2 mm) were included. Patients with history of forearm surgery, ulnar artery occlusion, abnormal Allen test, etc, were excluded from this study.INTERVENTIONSAll patients were randomized 1:1:1 to M-LAIP, SAOP or C-P.MAIN OUTCOME MEASURESThe primary outcome was the cannulation success rate. Secondary outcomes included first location time and cannulation time, number of attempts.RESULTSThe cannulation success rate was significantly higher in the M-LAIP group than in the SAOP group or C-P group (first success rate: 80.3% vs 53.8% or 33.8%; p =0.000; total success rate: 93.9% vs 78.5% or 50.8%; p =0.000). First location time (s) was significantly longer in the M-LAIP group compared with the SAOP group (31(28-35[12-44]) vs 15(14-17[10-21]); p =0.000) and the C-P group (31(28-35[12-44]) vs 12(8-13.5 [6-37]); p =0.000). However, the time of cannulation in the M-LAIP group (29(24-45[16-313])) was significantly shorter than that in the SAOP group (45(28.5-135.5[14-346]), p =0.002) and in the C-P group(138(27-308[12-363]), p =0.000). The number of attempts decreased in the M-LAIP group compared with SAOP or C-P group (1.29±0.63 vs 1.8±0.89 or 2.22±0.93, p =0.000).CONCLUSIONThe M-LAIP procedure for ultrasound-guided radial artery cannulation can offer a higher success rate of the first-attempt and total cannulation, fewer attempts and less time of cannulation.TRIAL REGISTRATIONThe study was registered at ClinicalTrials.gov (http://www.chictr.org.cn/index.aspx, number: ChiCTR-IOR-17011474).

scholarly journals Modified Long-Axis In-Plane Ultrasound Technique Versus Conventional Palpation Technique For Radial Arterial Cannulation: A Prospective Randomized Controlled Trial

2019 ◽  
Author(s):  
Jiebo Wang ◽  
Zhongmeng Lai ◽  
Xianfeng Weng ◽  
Yong Lin ◽  
Guohua Wu ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Success Rate ◽  
Radial Artery ◽  
Odds Ratio ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Radial Artery Cannulation ◽  
Ultrasound Technique ◽  
Artery Cannulation ◽  
Cannulation Success

AbstractBackgroundA low first-pass success rate of radial artery cannulation was obtained when using the conventional palpation technique(C-PT) or ultrasound-guided techniques, we therefore evaluate the effect of a modified long-axis in-plane ultrasound technique (M-LAINUT) in guiding radial artery cannulation in adults.MethodsWe conducted a prospective, randomized and controlled clinical trial of 288 patients undergoing radial artery cannulation. Patients were randomized 1:1 to M-LAINUT or C-PT group at fujian medical university union hospital between 2017 and 2018. Radial artery cannulation was performed by three anesthesiologists with different experience. The outcome was the first and total radial artery cannulation success rates, the number of attempts and the cannulation time.Results285 patients were statistically analyzed. The success rate of first attempt was 91.6% in the M-LAINUT group (n=143) and 57.7% in the C-PT group (n=142; P<0.001) (odds ratio, 7.9; 95% confidence interval, 4.0-15.7). The total success rate (≤5 min and ≤3 attempts) in the M-LAINUT group was 97.9%, compared to 84.5% in the palpation group (p <0.001) (odds ratio, 8.5; 95% confidence interval, 2.5-29.2). The total cannulation time was shorter and the number of attempts was fewer in the M-LAINUT group than that in the C-PT group (p <0. 05).ConclusionModified long-axis in-plane ultrasound-guided radial artery cannulation can increase the first and total radial artery cannulation success rates, reduce the number of attempts and shorten the total cannulation time in adults.

Sign in / Sign up

Export Citation Format

Share Document