Application of ultrasonic guidance in radial artery catheterization
10.3760/cma.j.issn.1008-6706.2020.03.005
- VernacularTitle: 超声引导在桡动脉穿刺置管中的应用
- Author:
Linfeng WU
1
;
Xuezheng LIN
;
Sicong YU
Author Information
1. Department of Anesthesiology, Taizhou Central Hospital, Taizhou, Zhejiang 318000, China
- Publication Type:Journal Article
- Keywords:
Anesthesia;
Punctures;
Catheter insertion;
Ultrasonography;
Operation;
Puncture success rate;
Planar technique;
Vital signs
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(3):276-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect of ultrasonic guidance in radial artery catheterization.
Methods:From January 2017 to January 2018, 100 patients who received surgical treatment in Taizhou Central Hospital of Zhejiang Province and needed puncture and catheterization anesthesia during operation were randomly divided into control group (n=50) and observation group (n=50) according to digital table method.The control group adopted the traditional touch pulse method, while the observation group was guided by ultrasound.The first puncture success rate, the second puncture success rate, puncture time, puncture times, the vital sign index, incidence of adverse events, pain score, comfort score were compared between the two groups.
Results:The first puncture success rate (80%) and the second puncture success rate (100%) of the observation group were higher than 62% and 88% of the control group (χ2=3.934, 6.383, all P<0.05). The single puncture time [(59.85±8.31)s] and total puncture time [(107.14±35.37)s] of the observation group were shorter than those of the control group (t=5.766, 6.398, all P<0.05), and the puncture times [(1.27±0.54) times] of the observation group was less than that of the control group (t=5.689, P<0.05). After puncture, the heart rate [(73.79±2.46)times/min] and average arterial pressure [(96.75±6.76)mmHg] of the observation group were all lower than those of the control group (t=5.058, 4.635, all P<0.05). The total incidence of adverse events such as subcutaneous hematoma and arterial wall penetration in the observation group (4%) was lower than that in the control group (18%) (χ2=5.005, P<0.05). The pain scores at puncture and after puncture of the observation group [(1.53±0.71)points, (1.28±0.60)points] were lower than those of the control group (t=5.545, 6.233, all P<0.05). The comfort scores at puncture and after puncture of the observation group [(91.25±9.64)points, (97.31±11.37)points] were higher than those of the control group (t=6.147, 6.226, all P<0.05).
Conclusion:Ultrasonic guidance can effectively improve the puncture efficiency, reduce the fluctuation of vital signs, pain, reduce the adverse events during puncture, and make the patients feel more comfortable.
