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| Clinical application of new radial artery puncture technique in infants |
| HAO Shuai1 HE Haili1 LI Ying2 QUAN Zhefeng1▲ |
1.Department of Anesthesiology, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China;
2.Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China |
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Abstract Objective To observe the clinical effect of ultrasound-guided double-line isolation and localization technique in infant radial artery puncture. Methods A total of 40 infants who were treated with radial artery puncture were chosen from March 2017 to December 2018 in Beijing Friendship Hospital, Capital Medical University. The patients were divided into control group and observation group through random number table, with 20 cases in each group. The control group was treated with conventional ultrasound-guided radial artery puncture technique, while the observation group received ultrasound double-line isolation positioning technique for radial artery puncture. The primary observation goal was to compare the success rate of the first attempt, and the secondary observation goal was the failure rate of puncture, the time of ultrasound localization, and the incidence of complications. Results The success rate of first intubation in the observation group was 85%, which was significantly higher than that in the control group (55%), the difference was statistically significant (P < 0.05). The ultrasound localization time in the observation group was significantly shorter than that in the control group, the difference was statistically significant (P < 0.05). The incidences of venipuncture failure and bleeding in the observation group were lower than that in the control group, the differences were statistically significant (P < 0.05). Conclusion Ultrasound-guided double-line isolation and localization technique is not only helpful in shortening the ultrasound localization, but also in improving the success rate of the first puncture of radial artery in infants under ultrasound guidance.
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[1] Burad J，Date R，Kodange S，et al. Comparison of conventional and ultrasound guided techniques of radial artery cannulation in different haemodynamic subsets：a randomised controlled study [J]. Intensive Care Med，2017，43（1）：140-141.
[2] Anantasit N，Cheeptinnakorntaworn P，Khositseth A，et al. Ultrasound Versus Traditional Palpation to Guide Radial Artery Cannulation in Critically Ill Children：A Randomized Trial [J]. J Ultrasound Med，2017，36（12）：2495-2501.
[3] Ishii S，Shime N，Shibasaki M，et al. Ultrasound-guided radial artery catheterization in infants and small children [J]. Pediatr Crit Care Med，2013，14（5）：471-473.
[4] Ueda K，Puangsuvan S，Hove MA，et al. Ultrasound visual image-guided vs Doppler auditory-assisted radial artery cannulation in infants and small children by non-expert anaesthesiologists：a randomized prospective study [J]. Br J Anaesth，2013，110（2）：281-286.
[5] Min JJ，Tay CK，Gil NS，et al. Ultrasound-guided vs. palpation-guided techniques for radial arterial catheterisation in infants：A randomised controlled trial [J]. Eur J Anaesthesiol，2018，13. doi：10.1097/EJA.0000000000000926.
[6] Tang L，Wang F，Li Y，et al. Ultrasound guidance for radial artery catheterization：an updated meta-analysis of randomized controlled trials [J]. PLoS One，2014，9（11）：e111527.
[7] Ganesh A，Kaye R，Cahill AM，et al. Evaluation of ultrasound-guided radial artery cannulation in children [J]. Pediatr Crit Care Med，2009，10（1）：45-48.
[8] Peters C，Schwarz SK，Yarnold CH，et al. Ultrasound guidance versus direct palpation for radial artery catheterization by expert operators：a randomized trial among Canadian cardiac anesthesiologists [J]. Can J Anaesth，2015，62（3）：1161-1168.
[9] Zaremski L，Quesada R，Kovacs M，et al. Prospective comparison of palpation versus ultrasound-guided radial access for cardiac catheterization [J]. J Invasive Cardiol，2013，25（12）：538-542.
[10] Tangwiwat S，Pankla W，Rushatamukayanunt P，et al. Comparing the Success Rate of Radial Artery Cannulation under Ultrasound Guidance and Palpation Technique in Adults [J]. J Med Assoc Thai，2016，99（5）：505-510.
[11] Laursen CB，Pedersen RL，Lassen AT. Ultrasonographically guided puncture of the radial artery for blood gas analysis：a prospective，randomized controlled trial [J]. Ann Emerg Med，2015，65（5）：618-619.
[12] 余艳艳.改良桡动脉穿刺在全麻手术患者有创血压监测动脉置管中的应用[J].护理实践与研究，2018，15（10）：124-126.
[13] 黄智红.超声引导术在血细胞单采动脉穿刺中的应用[J].护理学杂志，2018，33（11）：38-39，43.
[14] 付惠群.预先平面内外结合超声技术培训在老年手术患者桡动脉穿刺置管临床带教中的应用效果[J].北京医学，2018，40（7）：717-719.
[15] 郝永，高蕊，蔡尚郎.桡动脉途径失败后经肱动脉和股动脉途径行经皮冠状动脉介入治疗的比较研究[J].中国医药导刊，2018，20（9）：529-533.
[16] 王磊，郁素云，陈卫挺.ICU超声引导桡动脉置管在不同切面的随机对照研究[J].浙江临床医学，2018，20（10）：1675-1677.
[17] Peters C，Schwarz SK，Yarnold CH，et al. Ultrasound guidance versus direct palpation for radial artery catheterization by expert operators：a randomized trial among Canadian cardiac anesthesiologists [J]. Can J Anaesth，2015， 62（11）：1161-1168.
[18] Kiberenge RK，Ueda K，Rosauer B. Ultrasound-Guided Dynamic Needle Tip Positioning Technique Versus Palpation Technique for Radial Arterial Cannulation in Adult Surgical Patients：A Randomized Controlled Trial [J]. Anesth Analg，2018，126（1）：120-126.
[19] Zhefeng Q，Luo C，Zhang L，et al. Application of Optimized Ultrasonic Localization System for Radial Artery Puncture by Intern Doctors：A Randomized Trial [J]. Med Sci Monit，2019，25：1566-1571.
[20] Nakayama Y，Nakajima Y，Sessler DI，et al. A novel method for ultrasound-guided radial arterial catheterization in pediatric patients [J]. Anesth Analg，2014，118（5）：1019-1026.
[21] Hansen MA，Juhl-Olsen P，Thorn S，et al. Ultrasonography-guided radial artery catheterization is superior compared with the traditional palpation technique：a prospective，randomized，blinded，crossover study [J]. Acta Anaesthesiol Scand，2014，58（4）：446-452.
[22] Liu L，Tan Y，Li S，et al. "Modified Dynamic Needle Tip Positioning" Short-Axis，Out-of-Plane，Ultrasound-Guided Radial Artery Cannulation in Neonates：A Randomized Controlled Trial [J]. Anesth Analg，2018，21. doi：10.1213/ANE.0000000000003445. |
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