Magnetic needle‐tracking device for ultrasound guidance of radial artery puncture: A randomized study on a simulation model

Abstract

Introduction Ultrasound‐guidance of radial artery catheter insertion improves the first attempt success and reduces the occurrence of hematomas. Needle‐tracking devices optimize needle‐ultrasound beam alignment by displaying in real‐time the needle tip position. We compared the median time need by experienced physicians to achieve radial artery puncture using either a conventional ultrasonography device (CUD) or a magnetic needle‐tracking ultrasound device (MUD) in a simulation training arm model. Methods Fifty experienced residents and physicians performed two punctures in randomized order with the CUD and the MUD. The primary outcome was puncture duration; the secondary outcomes were puncture success, rate of accidental vein puncture, and practitioner's comfort (subjective scale 0‐10). Results The median [lower‐upper quartile] puncture time was 10 [6‐14] seconds when using CUD and 4 [3‐7] seconds when using MUD (P < .01). In the multivariate analysis, MUD use was associated with decreased puncture duration whatever the puncture order (OR 1.13 [1.07‐1.20], P < .01). The participants performed 99 (99%) successful punctures: 50 with the MUD (100%) and 49 with the CUD (98%). There was no accidental venous puncture. The practitioner's comfort level was 6.5 [6, 7] with the CUD and 8 [7‐9] with the MUD (P < .01). Conclusion MUD reduced radial artery puncture time and improved physician comfort in a simulation training arm model.

Current Insights and Updates in Ultrasound-Guided Acupuncture: A Comprehensive Review and Status Report

“…때문에 시술의 용이성을 높이기 위해 초음파 유도하 자 침 시 보조 시스템이 존재한다 55,56) . 초음파 가이드 시스템은 탐 촉자에 직접 부착하여 바늘 궤적을 조절할 수 있는 관절식 가 이드 시스템이 있으며, 최근에는 자화된 바늘을 활용하여 초음 파 영상기기 화면에 바늘의 위치, 바늘이 자입되는 궤적, 바늘 의 끝을 영상화해주는 시스템 또한 존재한다 57,58) . 61,62) .…”

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Effect of side guide marks of ultrasound transducer on the success rate of ultrasound transducer-guided radial artery puncture: A randomized trial

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