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| Study of different radial artery puncture spots under ultrasound guidance |
| ZHAO Xiaobao1 SHAO Xinfeng1▲ DING Yanling1 QUAN Zhefeng2 |
1.Department of Anesthesiology, Baoding First Central Hospital, Hebei Province, Baoding 071000, China;
2.Department of Anesthesiology, Beijing You’an Hospital, Capital Medical University, Beijing 100069, China |
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Abstract Objective To explore the choice of ideal puncture spot for radial artery puncture under ultrasound guidance. Methods A total of 120 patients with radial artery puncture under ultrasound guidance in Baoding First Central Hospital, Hebei Province, and Beijing You’an Hospital, Capital Medical University from June 2019 to January 2021 were selected as the study subjects. According to random number table method, they were divided into routine group (group A, 60 cases) and specific depth group (group B, 60 cases). In group A, conventional ultrasound guidance radial artery puncture was performed. In group B, the projection point on the surface of the radial artery with radius artery depth half the distance from the short axis of the ultrasonic probe was used as the puncture spot. Both groups were punctured by short axis plane method with ultrasonic probe. The primary outcome was the success rate of the first puncture, and the secondary outcome included puncture failure rate and complication rate. Results The success rate of first puncture in group B was higher than that in group A, and the difference was statistically significant (P < 0.05); there was no significant difference in puncture failure rate between two groups (P > 0.05). There were no significant differences in the incidence of hemorrhage and hematoma between two groups (P > 0.05). No serious complications such as thrombus and arterial occlusion occurred in two groups. Conclusion It is an optimal choice to select the radial artery at half the depth of the short axis of the ultrasonic probe as the puncture spot when performing radial artery puncture under the short axis plane method with ultrasonic probe.
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