Radial Artery Cannulation: A Review Article

Tiru, Bogdan; Bloomstone, Joshua A.

doi:10.4172/2155-6148.1000209

Cited by 15 publications

(13 citation statements)

References 77 publications

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“…The average depth of the radial artery from the skin in adults and children is 2.5 ± 0.3 mm [ 10 ] and 2.3 ± 0.7 mm [ 8 ], respectively. The radial artery originates from the brachial artery and reaches the lateral side of the wrist [ 11 ]. After the radial artery divides into the superficial and deep branches at the styloid process level of the radial head, the radial and ulnar arteries are connected with the superficial palmar and deep palmar arches.…”

Section: Anatomymentioning

confidence: 99%

Ultrasound-guided arterial catheterization

Cho¹,

Jang²,

et al. 2021

Anesth Pain Med

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Ultrasonography facilitates arterial catheterization compared to traditional palpation techniques, especially in small arteries. For successful catheterization without complications, practitioners should be familiar with the anatomic characteristics of the artery and ultrasound-guided techniques. There are two approaches for ultrasound-guided arterial catheterization: the short-axis view out-of-plane approach and the long-axis view in-plane approach. There are several modified techniques and tips to facilitate ultrasound-guided arterial catheterization. This review deals with the anatomy relevant to arterial catheterization, several methods to improve success rates, and decrease complications associated with arterial catheterization.

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Section: Anatomymentioning

confidence: 99%

Ultrasound-guided arterial catheterization

Cho¹,

Jang²,

et al. 2021

Anesth Pain Med

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“…In addition, the conventional method of blood sampling for BGA may be hazardous in clinical situations such as coagulation disorders, patients on severe anticoagulant therapy, the presence of arterial graft and severe vascular disease. It may also not be feasible in patients with simple intoxication, for regular control in patients with obstructive lung disease, and in athletes (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

The Value of Capillary Blood Gas Measurement in the Intensive Care Unit

Ak¹

2014

J Chest Dis Crit Care

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Arterial blood gas (ABG) sampling represents the gold standard for determining the patients' acid-base and ventilatory status. However, it has many drawbacks. This study assessed the relationship and agreement between arterial and capillary measurements in adult intensive care unit (ICU) patients. ABG and capillary blood gas (CBG) samples were obtained from 49 adult and 51 elderly (a total of 100) patients with cardiopulmonary disorder, cerebrovascular accident, intoxication, multiple trauma, and metabolic coma. All samples, collected at the same time, were analyzed. The kendall's tau rank correlation, unpaired t-test, paired-t test and Bland-Altman method which is used for measurement of agreement, were used for analysis. The median age was 65 years (min: 18, max: 90). There was a significant correlation between ABG

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“…Significant ischemic injury occurs infrequently (<1%) with RAC, but can be disastrous when it does. 9 11 A recent report by Rashid et al 12 noted that the radial artery is an increasingly common conduit for cardiology procedures, and radial artery preservation is a desirable outcome. Rashid found an incidence of 5.5% radial artery occlusion (often without associated ischemic injury) 1 week after RAC for cardiology procedures, derived from a meta-analysis of 66 studies containing 31 345 participants.…”

Section: Discussionmentioning

confidence: 99%

Use of a pressure sensing sheath: comparison with standard means of blood pressure monitoring in catheterization procedures

Purdy¹,

South

Klucznik

et al. 2016

J NeuroIntervent Surg

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PurposeMonitoring of blood pressure (BP) during procedures is variable, depending on multiple factors. Common methods include sphygmomanometer (BP cuff), separate radial artery catheterization, and side port monitoring of an indwelling sheath. Each means of monitoring has disadvantages, including time consumption, added risk, and signal dampening due to multiple factors. We sought an alternative approach to monitoring during procedures in the catheterization laboratory.MethodsA new technology involving a 330 µm fiberoptic sensor embedded in the wall of a sheath structure was tested against both radial artery catheter and sphygmomanometer readings obtained simultaneous with readings recorded from the pressure sensing system (PSS). Correlations and Bland–Altman analysis were used to determine whether use of the PSS could substitute for these standard techniques.ResultsThe results indicated highly significant correlations in systolic, diastolic, and mean arterial pressures (MAP) when compared against radial artery catheterization (p<0.0001), and MAP means differed by <4%. Bland–Altman analysis of the data suggested that the sheath measurements can replace a separate radial artery catheter. While less striking, significant correlations were seen when PSS readings were compared against BP cuff readings.ConclusionsThe PSS has competitive functionality to that seen with a dedicated radial artery catheter for BP monitoring and is available immediately on sheath insertion without the added risk of radial catheterization. The sensor is structurally separated from the primary sheath lumen and readings are unaffected by device introduction through the primary lumen. Time delays and potential complications from radial artery catheterization are avoided.

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Radial Artery Cannulation: A Review Article

Cited by 15 publications

References 77 publications

Ultrasound-guided arterial catheterization

Ultrasound-guided arterial catheterization

The Value of Capillary Blood Gas Measurement in the Intensive Care Unit

Use of a pressure sensing sheath: comparison with standard means of blood pressure monitoring in catheterization procedures

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