Publication: Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial: A
Issued Date
2017-12-01
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ISSN
15509613
02784297
02784297
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2-s2.0-85040835199
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Ultrasound in Medicine. Vol.36, No.12 (2017), 2495-2501
Suggested Citation
Nattachai Anantasit, Pimporn Cheeptinnakorntaworn, Anant Khositseth, Rojjanee Lertbunrian, Marut Chantra Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial: A. Journal of Ultrasound in Medicine. Vol.36, No.12 (2017), 2495-2501. doi:10.1002/jum.14291 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/42707
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Title
Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children: A Randomized Trial: A
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Abstract
© 2017 by the American Institute of Ultrasound in Medicine. Objectives: To identify success rates for radial artery cannulation in a pediatric critical care unit using either palpation or ultrasound guidance to cannulate the radial artery. Methods: A prospective randomized comparative study of critically ill children who required invasive monitoring in a tertiary referral center was conducted. All patients were randomized by a stratified block of 4 to either ultrasound-guided or traditional palpation radial artery cannulation. The primary outcomes were the first attempt and total success rates. Results: Eighty-four children were enrolled, with 43 randomized to the palpation technique and 41 to the ultrasound-guided technique. Demographic data between the groups were not significantly different. The total success and first attempt rates for the ultrasound-guided group were significantly higher than those for the palpation group (success ratio, 2.03; 95% confidence interval, 1.13-3.64; P =.018; and success ratio, 4.18; 95% confidence interval, 1.57-11.14; P =.004, respectively). The median time to success for the ultrasound-guided group was significantly shorter than that for the palpation group (3.3 versus 10.4 minutes; P <.001). Cannulation complications were lower in the ultrasound-guided group than the palpation group (12.5% versus 53.3%; P <.001). Conclusions: The ultrasound-guided technique could improve the success rate and allow for faster cannulation of radial artery catheterization in critically ill children.