Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2016 Jul 11:22:2409-16.
doi: 10.12659/msm.896805.

Ultrasonic Technology Improves Radial Artery Puncture and Cannulation in Intensive Care Unit (ICU) Shock Patients

Xiuyan Li  1 , Guizhen Fang  2 , Danhua Yang  3 , Lanfang Wang  1 , Chunmei Zheng  1 , Longjuan Ruan  1 , Lingcong Wang  1
Affiliations
Randomized Controlled Trial

Ultrasonic Technology Improves Radial Artery Puncture and Cannulation in Intensive Care Unit (ICU) Shock Patients

Xiuyan Li et al. Med Sci Monit. .

Abstract

BACKGROUND This study observed the efficacy of ultrasonic technique with out-of-plane orientation and in-plane guidance in radial artery puncture and cannulation in intensive care unit (ICU) shock patients to elucidate the effect of this technique on the security of cannulation. MATERIAL AND METHODS A total of 88 ICU shock patients, randomized into a palpation (control) group and an ultrasound (experimental) group, received continuous intravenous sedation and analgesia. The palpation group patients underwent radial artery cannulation using the traditional palpation pulsation approach, and the ultrasound group patients underwent radial artery cannulation under out-of-plane orientation and in-plane guidance using an ultrasonic apparatus. Data were recorded and compared between the 2 groups. RESULTS (1) The success rate of the first puncture in the ultrasound group and the palpation group was 80% and 42%, respectively (P<0.05). (2) The cannulation duration in the ultrasound group and the palpation group was 8.77±6.33 s and 28.7±26.33 s, respectively (P<0.01). (3) Incidence of hematoma and staxis around stoma in the ultrasound group was 2.5% and 5%, respectively, which was significantly lower than that in the palpation group, which was 20% and 32.5%, respectively (P<0.05). (4) Time to achieve the early goal-directed therapy in the ultrasound group and the palpation group was 306.73±39.98 min and 356.75±40.97 min, respectively (P<0.01). CONCLUSIONS Compared with the traditional method, radial artery cannulation with out-of-plane orientation and in-plane guidance is a quick and secure cannulation method and is appropriate for use in clinics.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Site of each point on the surface.
Figure 2
Figure 2
Flowchart for randomized controlled trial.
Figure 3
Figure 3
Image of the needle penetrating the anterior wall of the radial artery.
Figure 4
Figure 4
Image of the needle after entering the radial artery.
See this image and copyright information in PMC

References

    1. Brzezinski M, Luisetti T, London MJ. Radial artery cannulation: a comprehensive review of recent anatomic and physiologic investigations. Anesth Analg. 2009;109(6):1763–81. - PubMed
    1. Bundhoo SS, Earp E, Ivanauskiene T, et al. Saphenous vein graft percutaneous coronary intervention via radial artery access: safe and effective with reduced hospital length of stay. Am Heart J. 2012;164(4):468–72. - PubMed
    1. Shiloh AL, Savel RH, Paulin LM, Eisen LA. Ultrasound-guided catheterization of the radial artery: a systematic review and meta-analysis of randomized controlled trials. Chest. 2011;139(3):524–29. - PubMed
    1. Shiver S, Blaivas M, Lyon M. A prospective comparison of ultrasound-guided and blindly placed radial arterial catheters. Acad Emerg Med. 2006;13(12):1275–79. - PubMed
    1. Tokumine J, Higa T, Nitta K, et al. [Ultrasound guidance facilitates arterial catheterization]. Masui. 2009;58(4):488–92. [Japanese] - PubMed

Publication types