Influence of anaesthesia induction and associated disparities on radial artery cannulation success
Öz
Purpose: This study aimed to compare the procedure durations, the number of attempts and first attempt success rates in radial artery(RA) cannulations performed before and after anaesthesia induction. Secondarily, anaesthesia-related determinants of success were to be identified.
Materials and Methods: This study included 73 adult patients. All cannulations were with traditional palpation technique. Ultrasonography was used for arterial diameter/depth measurements. Cannulation time(s), number of attempts and first attempt success/failure were recorded.
Results: A total of 91 cannulations was performed. Median cannulation times were 30s (min-max:17-378) and 37s (min-max:10-217); first attempt success rates were %87.5 and %87.8 in preinduction and postinduction groups, respectively.. Local anaesthetic infiltration increased RA depth but did not affect RA height and width. Body mass index(BMI) and presence of atherosclerotic heart disease(ASHD) and/or peripheral vascular disease(PVD) were found as independent predictors of cannulation time.
Conclusion: RA cannulation success was unaffected by anaesthesia induction.
Anahtar Kelimeler
Radial artery, cannulation, anaesthesia induction, general anaesthesia, local infiltration
Kaynakça
- Referans 1. Tiru B, Bloomstone JA, McGee WT. Radial artery cannulation: A review article. J Anesth Clin Res. 2012;3(5).
- Referans 2. Sethi S, Maitra S, Saini V, Samra T, Malhotra SK. Comparison of short-axis out-of-plane versus long-axis in-plane ultrasound-guided radial arterial cannulation in adult patients: a randomized controlled trial. J Anesth. 2017 Feb 1;31(1):89–94.
- Referans 3. Miller AG, Bardin AJ. Review of ultrasound-guided radial artery catheter placement. Vol. 61, Respiratory Care. American Association for Respiratory Care; 2016. p. 383–8.
- Referans 4. Wang J, Lai Z, Weng X, Lin Y, Wu G, Su J, et al. Modified long-axis in-plane ultrasound technique versus conventional palpation technique for radial arterial cannulation: A prospective randomized controlled trial. Med (United States). 2020 Jan 1;99(2).
- Referans 5. Yeap YL, Wolfe JW, Stewart J, Backfish KM. Prospective Comparison of Ultrasound-Guided Versus Palpation Techniques for Arterial Line Placement by Residents in a Teaching Institution. J Grad Med Educ. 2019 Apr 1;11(2):177–81.
- Referans 6. White L, Halpin A, Turner M, Wallace L. Ultrasound-guided radial artery cannulation in adult and paediatric populations: A systematic review and meta-analysis. Vol. 116, British Journal of Anaesthesia. Oxford University Press; 2016. p. 610–7.
- Referans 7. Peters C, Schwarz SKW, Yarnold CH, Kojic K, Kojic S, Head SJ. Ultrasound guidance versus direct palpation for radial artery catheterization by expert operators: a randomized trial among Canadian cardiac anesthesiologists. Can J Anesth Can d’anesthésie. 2015;62(11):1161–8.
- Referans 8. Nakayama Y, Inagaki Y, Nakajima Y, Sessler DI, Mukai N, Ogawa S, et al. A Practical Training Program for Peripheral Radial Artery Catheterization in Adult Patients. Anesthesiology. 2016;125(4):716–23.
- Referans 9. Kucuk A, Yuce HH, Yalcin F, Boyacı FN, Yıldız S, Yalcin S. Forty-five degree wrist angulation is optimal for ultrasound guided long axis radial artery cannulation in patients over 60 years old: a randomized study. J Clin Monit Comput. 2014;28(6):567–72.
- Referans 10. Rüsch D, Koch T, Seel F, Eberhart L. Vapocoolant Spray Versus Lidocaine Infiltration for Radial Artery Cannulation: A Prospective, Randomized, Controlled Clinical Trial. J Cardiothorac Vasc Anesth. 2017 Feb 1;31(1):77–83.
