title: Ultrasonic Technology Improves Radial Artery Puncture and Cannulation in Intensive Care Unit (ICU) Shock Patients.
abstract: BACKGROUND This study observed the efficacy of ultrasonic technique with out-of-plane orientation and in-plane guidance in radial artery puncture and cannulation in intensive care unit (ICU) shock patients to elucidate the effect of this technique on the security of cannulation. MATERIAL AND METHODS A total of 88 ICU shock patients, randomized into a palpation (control) group and an ultrasound (experimental) group, received continuous intravenous sedation and analgesia. The palpation group patients underwent radial artery cannulation using the traditional palpation pulsation approach, and the ultrasound group patients underwent radial artery cannulation under out-of-plane orientation and in-plane guidance using an ultrasonic apparatus. Data were recorded and compared between the 2 groups. RESULTS (1) The success rate of the first puncture in the ultrasound group and the palpation group was 80% and 42%, respectively (P<0.05). (2) The cannulation duration in the ultrasound group and the palpation group was 8.77±6.33 s and 28.7±26.33 s, respectively (P<0.01). (3) Incidence of hematoma and staxis around stoma in the ultrasound group was 2.5% and 5%, respectively, which was significantly lower than that in the palpation group, which was 20% and 32.5%, respectively (P<0.05). (4) Time to achieve the early goal-directed therapy in the ultrasound group and the palpation group was 306.73±39.98 min and 356.75±40.97 min, respectively (P<0.01). CONCLUSIONS Compared with the traditional method, radial artery cannulation with out-of-plane orientation and in-plane guidance is a quick and secure cannulation method and is appropriate for use in clinics.
authors.affiliation: Department of Intensive Care Unit (ICU), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Xiuyan
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Nursing, The First Affiliated Hospital Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Guizhen
authors.initials: G
authors.lastname: Fang
authors.affiliation: Department of Cardiology, The First Affiliated Hospital Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Danhua
authors.initials: D
authors.lastname: Yang
authors.affiliation: Department of Intensive Care Unit (ICU), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Lanfang
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Intensive Care Unit (ICU), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Chunmei
authors.initials: C
authors.lastname: Zheng
authors.affiliation: Department of Intensive Care Unit (ICU), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Longjuan
authors.initials: L
authors.lastname: Ruan
authors.affiliation: Department of Intensive Care Unit (ICU), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China (mainland).
authors.forename: Lingcong
authors.initials: L
authors.lastname: Wang
mesh_terms: D000368:Aged; D002406:Catheterization, Peripheral / Q000379:methods*; D003422:Critical Care; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010173:Palpation / Q000379:methods; D011446:Prospective Studies; D011677:Punctures / Q000379:methods; D017534:Radial Artery / Q000000981:diagnostic imaging*; D012769:Shock / Q000628:therapy*; D018084:Ultrasonography, Interventional