A comparison of the success rate of radial artery cannulation between the ultrasound?guided and conventional palpation techniques in elderly patients undergoing cardiothoracic surgery

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dc.contributor.authorChanthawong, Sarinyaen_US
dc.contributor.authorTribuddharat, Siriraten_US
dc.contributor.authorSathitkarnmanee, Thepakornen_US
dc.contributor.authorSuwongkrua, Thanapornen_US
dc.contributor.authorSilarat, Supariten_US
dc.contributor.authorPlengpanich, Pathawaten_US
dc.date.accessioned2023-07-14T08:00:27Z
dc.date.available2023-07-14T08:00:27Z
dc.date.issued2022-12
dc.description.abstractBackground:Ultrasound?guided (USG) radial artery cannulation against the standard palpation technique increases the first attempt rate in both pediatric and adult patients. The objective of this study was to evaluate the benefits of USG versus the palpation technique in improving the first attempt rate in elderly patients. Methods: The patients over 65 years of age were randomized to the USG or Palpation group. The radial artery identification in the USG group was performed with the aid of the Sonimage HS 1. In the Palpation group, the radial artery was identified by manual palpation. The operators were cardiothoracic anesthesiologists. Overall success was defined as cannulation completed within 10 min. Results: Eighty patients (40 in each group) were recruited. The respective first attempt and overall success rate for the USG group were similar to the Palpation group (P > 0.999 and P = 0.732). The time to the first attempt and overall success were also similar (P = 0.075 and P = 0.636). The number of attempts, number of catheters used, and failure rates were similar between the groups (P = 0.935, P = 0.938, and P = 0.723). The number of successful cannulations within 10 min was similar for both the groups as categorized by the radial artery diameter (P = 0.169). Conclusions: The USG did not increase the first attempt or overall success rate of radial artery cannulation in the elderly patients undergoing cardiothoracic surgery. The time to first attempt and overall success were similar between both the groups. The number of attempts and number of catheters used were similar between both groups.en_US
dc.identifier.affiliationsDepartment of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailanden_US
dc.identifier.citationChanthawong Sarinya, Tribuddharat Sirirat, Sathitkarnmanee Thepakorn, Suwongkrua Thanaporn, Silarat Suparit, Plengpanich Pathawat. A comparison of the success rate of radial artery cannulation between the ultrasound?guided and conventional palpation techniques in elderly patients undergoing cardiothoracic surgery. Annals of Cardiac Anaesthesia. 2022 Dec; 25(4): 447-452en_US
dc.identifier.issn0974-5181
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219254
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber4en_US
dc.relation.volume25en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_70_21en_US
dc.subjectCardiothoracicen_US
dc.subjectcomplicationsen_US
dc.subjectelderlyen_US
dc.subjectfirst attempten_US
dc.subjectpalpationen_US
dc.subjectradial artery cannulationen_US
dc.subjectultrasound?guideden_US
dc.titleA comparison of the success rate of radial artery cannulation between the ultrasound?guided and conventional palpation techniques in elderly patients undergoing cardiothoracic surgeryen_US
dc.typeJournal Articleen_US
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