Effect of bevel direction on the success rate of ultrasound-guided radial arterial catheterization

BMC Anesthesiology

Research Article

Chun Woo Yang¹  Woo Hee Choi¹  Byung-Gun Kim¹  Hyong-Rae Cho²  Sung-Won Min³  Young-Tae Jeon⁴  Ah-Young Oh⁴  Hee-Pyoung Park⁵ 

[1] Department of Anesthesiology and Pain Medicine, Inha University School of Medicine, Inha University Hospital, Sinheung-dong 3-ga, 400-711, Incheon, Jung-gu, South Korea;Department of Anesthesiology and Pain Medicine, Myongji Hospital, Goyang, South Korea;Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, Seoul, South Korea;Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea;Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea;

关键词: Radial Artery;    Cannulation Time;    Insertion Time;    Radial Artery Catheterization;    Radial Artery Cannulation;   

DOI  :  10.1186/s12871-016-0202-5

 received in 2015-10-12, accepted in 2016-07-05,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThis study assessed the effect of bevel direction on the success rate of ultrasound guided radial artery catheterization.MethodsA total of 204 patients requiring radial artery catheterization were randomly divided into bevel-up (n = 102) and bevel-down (n = 102) groups. Success rate, cannulation time, and number of attempts were compared groups.ResultsIn the bevel-down group, an arterial line was placed on the first attempt in 86 of 102 (84.3 %; 95 % confidence interval [CI] = 76 % to 90 %) patients versus 73 of 102 (71.6 %; 95 % CI = 62.1 % to 79.4 %) in the bevel-up group (p = 0.028). In the bevel-down group, the mean time to a successful radial arterial cannulation was 33.3 ± 6.3 seconds (95 % CI = 32.1-34.6) versus 35.9 ± 7.6 seconds (95 % CI = 34.4-37.2) in the bevel-up group (p = 0.011). The median score was 33.2 and interquartile range [IQR] was 10.9 (30.3-41.2) for the mean cannulation time in the bevel-up group. In the bevel-down group, the mean score was 32.3 (IQR 3.90, 30–33.9) for mean cannulation time. In the bevel-down group, 11 of 102 (7 %; 95 % CI = 0 to 16 %) patients developed a posterior wall puncture versus 22 of 102 ((21.6 %; 95 % CI = 14.7 to 17.2 %) in the bevel-up group.ConclusionThe bevel-down approach during ultrasound-guided radial artery catheterization exhibited a higher success with fewer complications compared to the bevel-up approach.Trial registrationClinical Research Information Service is Korean Clinical Trials Registry (KCT0001836). It was registered retrospectively 30th Nov 2015.

【 授权许可】

CC BY   
© Min et al. 2016