Factors Contributing Successful Ultrasound-guided Radial Artery Cannulation and Its Complications When Using the Short-axis Out-of-plane Procedure.
10.3881/j.issn.1000-503X.11617
- Author:
Bing BAI
1
;
Yuan TIAN
1
;
Yue Lun ZHANG
2
;
Chun Hua YU
1
;
Yu Guang HUANG
1
Author Information
1. Department of Anesthesiology, PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
2. Central Research Laboratory,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
- Publication Type:Journal Article
- Keywords:
arterial cannulation;
radial artery;
related factor;
ultrasound
- From:
Acta Academiae Medicinae Sinicae
2020;42(1):86-90
- CountryChina
- Language:Chinese
-
Abstract:
To identify the possible factors that may influence the success and the complications of ultrasound-guided out-of-plane radial arterial cannulation. Multivariate Logistic regression analysis was used to analyze the clinical data of 131 patients undergoing elective surgery and ultrasound-guided out-of-plane radial artery cannulation,dynamic needle tip positioning(DNTP) technique or angular distance(AD) technique and to find out the factors associated with the one-attempt success rate,overall success rate,posterior arterial wall perforation,and local hematoma. The depth of the anterior arterial wall≥3 mm was the factor associated with posterior arterial wall perforation(=0.314,95%:0.143-0.691,=0.004) and local hematoma(=0.250,95%:0.107-0.585,=0.001).The use of DNTP method was significantly associated with posterior arterial wall perforation(=0.303,95%:0.138-0.667,=0.003). During ultrasound-guided out-of-plane radial cannulation,puncture at the arterial anterior wall sites with a depth of≥3 mm can reduce the incidence of posterior arterial wall perforation and local hematoma.Compared with AD,DNTP can lower the incidence of posterior arterial wall perforation.
