Ultrasound-guided peripheral artery cannulation: A priority, not an option

Sokhal, Navdeep; Khandelwal, Ankur; Sokhal, Suman; Chaturvedi, Arvind

doi:10.4103/ija.ija_730_19

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…[ 1 , 2 ] Currently, ultrasound-guided radial arterial cannulation is preferred over the conventional palpation or landmark technique due to increased success rates, lower incidence of complications and better acceptability among patients. [ 1 , 3 , 4 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of two ultrasound-guided techniques for radial arterial cannulation in adults – Observational cross-sectional study

Sherrin¹,

Raphael²,

Chacko³

2023

Indian Journal of Anaesthesia

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Background and Aims: Short axis, out of plane (SAOOP) and long axis, in-plane (LAIP) are two approaches employed under ultrasound-guided radial arterial cannulation. Dynamic needle tip positioning (DNTP) is a recently introduced approach which integrates the features of both. Methods: A total of 114 adult patients from American Society of Anaesthesiologists (ASA) I-IV were studied in this hospital-based cross-sectional study after getting Institutional Ethical approval, CTRI registration and prior written informed consent. The primary objective was to compare the success rates among LAIP and DNTP techniques. The radial arterial diameter and its depth were correlated to the success rates in both. Statistical analysis was done using SPSS version 23.0. Results: Success rates were similar in both ( P value-0.094). Ultrasonographic location time (in seconds) was shorter in DNTP (4.351 ± 0.9727) compared to LAIP (7.140 ± 1.0763) ( P value-0.0001). The mean overall diameter and depth of radial artery (in mm) were found to be 2.36 ± 0.02 and 2.51 ± 0.12, respectively. Pearson’s correlation coefficient between cannulation time and diameter was found to be -0.602 ( P value-0.0001) and with depth of the radial artery was 0.034 ( P value 0.723). Conclusion: The success rates were similar in both techniques. Ultrasonographic location time of the radial artery was more in LAIP although cannulation time was similar in both. Cannulation time decreased with an increase in the diameter of radial artery but was unaffected by the depth of the radial artery.

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Section: Introductionmentioning

confidence: 99%

Comparison of two ultrasound-guided techniques for radial arterial cannulation in adults – Observational cross-sectional study

Sherrin¹,

Raphael²,

Chacko³

2023

Indian Journal of Anaesthesia

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“…9 Most commonly used artery for cannulation is radial artery, because of its anatomic accessibility, dual blood supply, low rate of complications and high success rate. 3 The cannulation of radial artery by traditional method has been very challenging in infants and children and even more difficult in patients with obesity and hypotension. 10 The aim of the study is to compare the palpatory method and USG guided method for radial artery cannulation.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of radial artery cannulation by USG guidance versus palpation technique in major surgery patients

Thailamuthu,

S.,

Deekshith

2023

Int J Res Med Sci

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Background: Arterial blood pressure monitoring is a basic vital sign measured in all patients. Arterial catheterization is a frequent and essential procedure for continuous blood pressure monitoring, blood sampling for arterial blood gas analysis, in many clinical settings. The aim of the study is to compare the conventional palpatory technique and ultrasound guided method for radial artery cannulation. Methods: In this study, 100 patients divided into two groups- ultrasound group and conventional palpatory method. Outcomes were assessed based on successful cannulation at first attempt, number of attempts, time taken, complications. Results: This study shows that ultrasound guided radial artery cannulation has advantages like successful cannulation at first attempt, lesser number of attempts required for successful cannulation, and lesser complications compared to the direct palpation technique. Conclusions: This study shows that ultrasound guided technique has definitive advantages over direct palpation technique in terms of efficacy and lesser complications.

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“…The radial artery is the most common site used for cannulation because of its easy accessibility, dual blood supply, and low risk of complications. [ 1 ] Three types of arterial cannulation techniques have been described. [ 2 ] They are Direct, Classical Seldinger, and Modified Seldinger (Dart).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Direct versus Ultrasound-Guided Dart Technique of Radial Artery Cannulation

Varnitha

Kumar

Gupta

et al. 2021

Anesthesia Essays &Amp; Researches

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Background: Three different types of cannulation method for radial artery are Direct technique, Seldinger technique, and modified Seldinger technique (Dart). Their comparative efficacy has been studied using palpatory method but not with ultrasound guidance. Aims: We compared the efficacy of ultrasound-guided Direct and ultrasound-guided Dart technique of arterial cannulation. Settings and Design: One hundred and sixty patients posted for elective surgeries were included in prospective randomized control, single-blind study in a tertiary care center. Materials and Methods: The study comprised of two groups: Direct method ( n = 80) and Dart method ( n = 80), which were compared for the rate of successful cannulation within 5 min. The secondary objectives were time for successful cannulation, number of attempts, and rate of complications (hematoma, posterior wall puncture, and needle reinsertion) between two groups. Statistical Analysis: The group comparison for continuously distributed data was compared using the independent sample t -test. The Chi-square test was used for the group comparison of categorical data. Binary logistic regression was conducted to ascertain significant predictors for successful cannulation in 5 min. Results: Cannulation success rate was similar in both Direct (57.5%) and Dart (55%) groups. There was no significant difference in time for successful cannulation, number of attempts, number of needle redirection, and posterior wall puncture. However, the incidence of hematoma (Direct 22.5% [18]; Dart 8% [10]) was significant. There was better success rate of cannulation ( n = 90) in patients with normal pulse and bigger radial artery lumen. Conclusion: There was no significant difference between Dart and Direct technique with the use of ultrasound guidance.

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Ultrasound-guided peripheral artery cannulation: A priority, not an option

Cited by 4 publications

References 4 publications

Comparison of two ultrasound-guided techniques for radial arterial cannulation in adults – Observational cross-sectional study

Comparison of two ultrasound-guided techniques for radial arterial cannulation in adults – Observational cross-sectional study

A comparative study of radial artery cannulation by USG guidance versus palpation technique in major surgery patients

Comparison of Ultrasound-Guided Direct versus Ultrasound-Guided Dart Technique of Radial Artery Cannulation

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