Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.

<h4>Background</h4>Radial artery cannulation, which is a useful procedure for anesthetic management, is often challenging in elderly patients. Recently, the dynamic needle tip positioning (DNTP) technique was introduced to facilitate ultrasound-guided vascular catheterization. Therefore,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Soo Yeon Kim, Kyu Nam Kim, Mi Ae Jeong, Bong Soo Lee, Hyun Jin Lim
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7e76a646b46a4638ae1ab313db7238a6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7e76a646b46a4638ae1ab313db7238a6
record_format	dspace
spelling	oai:doaj.org-article:7e76a646b46a4638ae1ab313db7238a62021-11-25T06:19:14ZUltrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.1932-620310.1371/journal.pone.0251712https://doaj.org/article/7e76a646b46a4638ae1ab313db7238a62021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251712https://doaj.org/toc/1932-6203<h4>Background</h4>Radial artery cannulation, which is a useful procedure for anesthetic management, is often challenging in elderly patients. Recently, the dynamic needle tip positioning (DNTP) technique was introduced to facilitate ultrasound-guided vascular catheterization. Therefore, we performed this prospective, parallel group, randomized, controlled trial to compare the ultrasound-guided DNTP technique with the palpation method in elderly patients.<h4>Methods</h4>For this study, 256 patients aged 65 years or older were randomly allocated to the ultrasound-guided DNTP technique group (DNTP group) or the palpation method group (palpation group). The primary outcome was first-attempt success rate. The secondary outcomes were overall success rate, numbers of attempts and redirections, cannulation time, and incidence of complications.<h4>Results</h4>The first-attempt success rate (85.9% vs. 72.3%; relative risk [RR], 1.47; 95% CI 1.25-1.72; P<0.001) and the overall success rate (99.2% vs. 93.0%; RR, 1.07; 95% CI 1.02-1.12; P = 0.01) were significantly higher in the DNTP group compared to the palpation group. The numbers of attempts [1 (1,1) vs. 1 (1,3), P<0.001] and redirections [0 (0,1) vs. 2 (0,4), P<0.001] were significantly lower in the DNTP group. The cannulation time for successful attempts was 42 (32,55) seconds in the DNTP group and 53 (36,78) seconds in the palpation group (P<0.001). The incidence of hematoma was significantly lower in the DNTP group (7% vs. 24.2%; RR, 0.29; 95% CI, 0.14-0.59; P<0.001).<h4>Conclusions</h4>Ultrasound-guided radial artery cannulation with the DNTP technique improved the efficiency of radial artery cannulation in elderly patients by increasing the success rate while minimizing complications.Soo Yeon KimKyu Nam KimMi Ae JeongBong Soo LeeHyun Jin LimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251712 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Soo Yeon Kim Kyu Nam Kim Mi Ae Jeong Bong Soo Lee Hyun Jin Lim Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.
description	<h4>Background</h4>Radial artery cannulation, which is a useful procedure for anesthetic management, is often challenging in elderly patients. Recently, the dynamic needle tip positioning (DNTP) technique was introduced to facilitate ultrasound-guided vascular catheterization. Therefore, we performed this prospective, parallel group, randomized, controlled trial to compare the ultrasound-guided DNTP technique with the palpation method in elderly patients.<h4>Methods</h4>For this study, 256 patients aged 65 years or older were randomly allocated to the ultrasound-guided DNTP technique group (DNTP group) or the palpation method group (palpation group). The primary outcome was first-attempt success rate. The secondary outcomes were overall success rate, numbers of attempts and redirections, cannulation time, and incidence of complications.<h4>Results</h4>The first-attempt success rate (85.9% vs. 72.3%; relative risk [RR], 1.47; 95% CI 1.25-1.72; P<0.001) and the overall success rate (99.2% vs. 93.0%; RR, 1.07; 95% CI 1.02-1.12; P = 0.01) were significantly higher in the DNTP group compared to the palpation group. The numbers of attempts [1 (1,1) vs. 1 (1,3), P<0.001] and redirections [0 (0,1) vs. 2 (0,4), P<0.001] were significantly lower in the DNTP group. The cannulation time for successful attempts was 42 (32,55) seconds in the DNTP group and 53 (36,78) seconds in the palpation group (P<0.001). The incidence of hematoma was significantly lower in the DNTP group (7% vs. 24.2%; RR, 0.29; 95% CI, 0.14-0.59; P<0.001).<h4>Conclusions</h4>Ultrasound-guided radial artery cannulation with the DNTP technique improved the efficiency of radial artery cannulation in elderly patients by increasing the success rate while minimizing complications.
format	article
author	Soo Yeon Kim Kyu Nam Kim Mi Ae Jeong Bong Soo Lee Hyun Jin Lim
author_facet	Soo Yeon Kim Kyu Nam Kim Mi Ae Jeong Bong Soo Lee Hyun Jin Lim
author_sort	Soo Yeon Kim
title	Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.
title_short	Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.
title_full	Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.
title_fullStr	Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.
title_full_unstemmed	Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.
title_sort	ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: a prospective randomized controlled study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/7e76a646b46a4638ae1ab313db7238a6
work_keys_str_mv	AT sooyeonkim ultrasoundguideddynamicneedletippositioningtechniqueforradialarterycannulationinelderlypatientsaprospectiverandomizedcontrolledstudy AT kyunamkim ultrasoundguideddynamicneedletippositioningtechniqueforradialarterycannulationinelderlypatientsaprospectiverandomizedcontrolledstudy AT miaejeong ultrasoundguideddynamicneedletippositioningtechniqueforradialarterycannulationinelderlypatientsaprospectiverandomizedcontrolledstudy AT bongsoolee ultrasoundguideddynamicneedletippositioningtechniqueforradialarterycannulationinelderlypatientsaprospectiverandomizedcontrolledstudy AT hyunjinlim ultrasoundguideddynamicneedletippositioningtechniqueforradialarterycannulationinelderlypatientsaprospectiverandomizedcontrolledstudy
_version_	1718413933610532864

Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study.

Ejemplares similares