Ultrasound-guided arterial cannulation for paediatrics

Aouad-Maroun, Marie; Raphael, Christian K; Sayyid, Samia K.; Farah, Fadi; Akl, Elie A.

doi:10.1002/14651858.cd011364.pub2

Cited by 46 publications

(48 citation statements)

References 30 publications

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“…However, it is sometimes difficult, especially in small children with urgent circumstances. Recently, a systematic review including 444 arterial cannulations in a pediatric population showed that ultrasound guidance improves the first‐ and second‐attempt success rates of radial artery cannulation in children . However, it included 5 studies with elective surgical settings, where patients were sedated, and the study operators were anesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, a systematic review including 444 arterial cannulations in a pediatric population showed that ultrasound guidance improves the first-and second-attempt success rates of radial artery cannulation in children. 26 However, it included 5 studies with elective surgical settings, where patients were sedated, and the study operators were anesthesiologists. Under similar conditions, ultrasound guidance was favored over palpation, 16,23 and Doppler auditory assistance 27 was favored in infants and small children.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial

Anantasit

Cheeptinnakorntaworn

Khositseth

et al. 2017

J of Ultrasound Medicine

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Objectives-To identify success rates for radial artery cannulation in a pediatric critical care unit using either palpation or ultrasound guidance to cannulate the radial artery.Methods-A prospective randomized comparative study of critically ill children who required invasive monitoring in a tertiary referral center was conducted. All patients were randomized by a stratified block of 4 to either ultrasound-guided or traditional palpation radial artery cannulation. The primary outcomes were the first attempt and total success rates.Results-Eighty-four children were enrolled, with 43 randomized to the palpation technique and 41 to the ultrasound-guided technique. Demographic data between the groups were not significantly different. The total success and first attempt rates for the ultrasound-guided group were significantly higher than those for the palpation group (success ratio, 2.03; 95% confidence interval, 1.13-3.64; P 5 .018; and success ratio, 4.18; 95% confidence interval, 1.57-11.14; P 5 .004, respectively). The median time to success for the ultrasound-guided group was significantly shorter than that for the palpation group (3.3 versus 10.4 minutes; P < .001). Cannulation complications were lower in the ultrasound-guided group than the palpation group (12.5% versus 53.3%; P < .001).Conclusions-The ultrasound-guided technique could improve the success rate and allow for faster cannulation of radial artery catheterization in critically ill children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial

Anantasit

Cheeptinnakorntaworn

Khositseth

et al. 2017

J of Ultrasound Medicine

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“…5,11,46,47,69,73 Despite the numerous applications, great potential for patient care, and recent growth in the use of POCUS in anesthesia, there are still barriers that prevent it from being a current standard practice and challenges in establishing anesthesia-specific guidelines. Ultrasound-assisted physical examination [4][5][6] Regional anesthesia 7,8 Transthoracic echocardiography [9][10][11][12][13][14] Vascular access [15][16][17][18][19] Transesophageal echocardiography [20][21][22][23] Arterial access [24][25][26] Lung ultrasound 5,[27][28][29][30][31] Airway management [32][33][34][35][36] Volume assessment 3,5,10,37-39 Thoracentesis 15,[40][41][42][43][44] Abdominal ultrasound 37,…”

Section: Résumémentioning

confidence: 99%

Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists

McCormick

Miller

Chen

et al. 2018

Can J Anesth/J Can Anesth

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Presently, our specialty requires consensus by expert stakeholders to address issues of competence, certification, development of standards and terminology, and the management of unexpected diagnoses. To promote POCUS competency in our discipline, we support its incorporation into anesthesiology curricula and training programs and the continuing professional development of POCUS-related activities at a national level.

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“…As cited by the authors, a Cochrane review concluded that ultrasound increased the rate of successful percutaneous arterial cannulation. 10 However, a recent meta-analysis reports that although ultrasound was effective and safe, heterogeneity among studies makes it difficult to interpret data and draw definitive conclusions. 11 In this era of evidence-based medicine, the goal is to impose standards after careful analysis of outcome data, yet some of the most basic practices are based on anecdotal evidence.…”

mentioning

confidence: 99%