Abstract
Arterial puncture, for obtaining an analysis of blood gas, is an interventional procedure often performed in emergency departments and intensive care units. This study compares the ultrasound (US) guided method with the conventional digital palpation method in radial artery puncture (RAP) for blood gas analysis in septic shock patients. This is a prospective, single-centre study. Septic shock patients over 18 years of age who needed a RAP sample for blood gas analysis were included. Patients with local infection or trauma at the puncture site, arteriovenous fistula, vascular graft, coagulopathy, a positive Allen test, or did not want to participate were excluded. Patients were randomized into two groups and RAP was obtained with either the US-guided method or the conventional method. The main outcomes were success at first entry, the number of attempts before success, and the time to success. The 50 eligible patients were randomized into two groups. First entry success rate for the US-guided group and the conventional group was 80% and 42%, respectively. The number of attempts before success and time to success was significantly higher in the conventional group. The US-guided method has been found to be more successful in terms...Continue Reading
References
Dec 1, 1996·Chest·J GinerJ Sanchis
Jul 23, 2002·Critical Care : the Official Journal of the Critical Care Forum·Bernd ScheerUlrich J Pfeiffer
Feb 11, 2003·Critical Care Medicine·Phillip D LevinYaacov Gozal
Nov 3, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stephen ShiverMatthew Lyon
Dec 6, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Arjunan GaneshMehernoor Watcha
Oct 19, 2010·The American Journal of Emergency Medicine·Simon A MahlerSteven A Conrad
Apr 7, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Naomi P O'GradyUNKNOWN Healthcare Infection Control Practices Advisory Committee (HICPAC) (Appendix 1)
Mar 29, 2013·The American Journal of Emergency Medicine·Xavier BobbiaJean-Emmanuel de La Coussaye
Nov 7, 2014·PloS One·Lu TangLingjun Zhou
Oct 2, 2015·Chest·Wan-Jie GuXiao-Ping Gu
Feb 24, 2016·JAMA : the Journal of the American Medical Association·Edward Abraham
Jul 12, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Xiuyan LiLingcong Wang
Oct 1, 2016·Intensive Care Medicine·Jyoti BuradKarin Nollain
May 13, 2017·Intensive Care Medicine·Luciano GattinoniMichael Matthay
Mar 27, 2018·Journal of Clinical Anesthesia·Sulagna BhattacharjeeDalim K Baidya
Mar 21, 2019·PloS One·Romain Genre GrandpierrePierre-Géraud Claret
Jun 1, 2019·The Journal of Vascular Access·Sou Chen ChewM Shahnaz Hasan
Apr 9, 2020·European Journal of Anaesthesiology·Massimo LampertiPhilip Hopkins
Sep 29, 2020·The Journal of Vascular Access·Amy J Bardin-Spencer, Timothy R Spencer