Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial
BackgroundRadial artery catheterization is a challenge for anesthetists in the pediatric population. The purpose of this study was to determine whether the modified long-axis in-plane (MLAX-IP) technique increased the success rate of radial artery catheterization in children.MethodsThis study involv...
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Frontiers Media S.A.
2022-02-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.780375/full |
| _version_ | 1819274749780426752 |
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| author | Liu Yu Heying Zhong Yan Jiang Wangping Zhang Zhiwei Liu |
| author_facet | Liu Yu Heying Zhong Yan Jiang Wangping Zhang Zhiwei Liu |
| author_sort | Liu Yu |
| collection | DOAJ |
| description | BackgroundRadial artery catheterization is a challenge for anesthetists in the pediatric population. The purpose of this study was to determine whether the modified long-axis in-plane (MLAX-IP) technique increased the success rate of radial artery catheterization in children.MethodsThis study involved 80 children who required arterial catheterization and were randomly divided into the MLAX-IP group and dynamic needle tip positioning (DNTP) group (40 cases in each group). Radial artery catheterization was performed using either the MLAX-IP technique or the DNTP technique.ResultsThe first-attempt cannulation success rate was higher in the MLAX-IP group than in the DNTP group (95 vs. 80%, P = 0.043). The imaging time of the artery in the MLAX-IP group was longer than in the DNTP group (19.1 ± 3.1 vs. 9.6 ± 2.4 s, P < 0.001). While the total catheterization time was similar between the 2 groups (88.1 ± 23 vs. 86.9 ± 46.1 s, P = 0.475).ConclusionThe first-attempt cannulation success rate with the MLAX-IP technique is increased, while the total catheterization time is similar between the 2 groups and puncture-related complications are fewer. |
| first_indexed | 2024-12-23T23:13:23Z |
| format | Article |
| id | doaj.art-7153bba0de5b44b5ab4ee195826b4c0a |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-23T23:13:23Z |
| publishDate | 2022-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-7153bba0de5b44b5ab4ee195826b4c0a2022-12-21T17:26:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-02-01810.3389/fmed.2021.780375780375Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled TrialLiu Yu0Heying Zhong1Yan Jiang2Wangping Zhang3Zhiwei Liu4Department of Anesthesiology, Women and Children's Hospital of Jiaxing University, Jiaxing, ChinaDepartment of Anesthesiology, Huadu District People's Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Anesthesiology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Anesthesiology, Women and Children's Hospital of Jiaxing University, Jiaxing, ChinaDepartment of Pediatrics, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaBackgroundRadial artery catheterization is a challenge for anesthetists in the pediatric population. The purpose of this study was to determine whether the modified long-axis in-plane (MLAX-IP) technique increased the success rate of radial artery catheterization in children.MethodsThis study involved 80 children who required arterial catheterization and were randomly divided into the MLAX-IP group and dynamic needle tip positioning (DNTP) group (40 cases in each group). Radial artery catheterization was performed using either the MLAX-IP technique or the DNTP technique.ResultsThe first-attempt cannulation success rate was higher in the MLAX-IP group than in the DNTP group (95 vs. 80%, P = 0.043). The imaging time of the artery in the MLAX-IP group was longer than in the DNTP group (19.1 ± 3.1 vs. 9.6 ± 2.4 s, P < 0.001). While the total catheterization time was similar between the 2 groups (88.1 ± 23 vs. 86.9 ± 46.1 s, P = 0.475).ConclusionThe first-attempt cannulation success rate with the MLAX-IP technique is increased, while the total catheterization time is similar between the 2 groups and puncture-related complications are fewer.https://www.frontiersin.org/articles/10.3389/fmed.2021.780375/fullradial arterycannulationultrasoundchildrensuccess rate |
| spellingShingle | Liu Yu Heying Zhong Yan Jiang Wangping Zhang Zhiwei Liu Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial Frontiers in Medicine radial artery cannulation ultrasound children success rate |
| title | Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial |
| title_full | Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial |
| title_fullStr | Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial |
| title_full_unstemmed | Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial |
| title_short | Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial |
| title_sort | modified long axis in plane technique for radial artery cannulation in children a randomized controlled trial |
| topic | radial artery cannulation ultrasound children success rate |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2021.780375/full |
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