DOI: https://doi.org/10.22263/2312-4156.2016.5.84
Tochilo S.A., Gromozdov D.A., Dmitriyeva V.N., Gorelikov A.V., Marochkov A.A., Klishevich F.N., Tulya E.O., Shiryaev S.M.
Comparative analysis of different methods of radial artery catheterization used in patients with multiple organs dysfunction and during angiography
Mogilev Regional Hospital, Mogilev, Republic of Belarus
Vestnik VGMU. 2016;15(5):84-90.
Abstract.
Objectives. To make a comparative analysis of two methods of the radial artery puncture and catheterization using palpation and ultrasound visualization in patients with multiple organs dysfunction and during angiography.
Material and methods. In a prospective, randomized study 168 patients of both genders were included, their average age was 60,1±12,9 years. The first group (n=48) consisted of intensive care unit patients with the presence of multiple organs dysfunction, and the second group (n=120) was composed of patients undergoing the planned angiography. Each group was divided into two subgroups: the first of palpation and the second of ultrasound visualization.
Results. We have found a statistically significant decrease in the duration of radial artery catheterization in the first group – 2,7 (1,72; 6,15) min. using ultrasound control vs. 3,76 (2,53; 15,64) min. on palpation method (p=0,002) and in the second group 1,16 (0,92; 1,71) min. vs. 1,43 (1,03; 2,53) min. respectively (p=0,036). The number of the first attempt successful artery catheterizations using ultrasound visualization in the second group increased from 73,3% to 88,3% (p=0,037). The frequency of hematoma formation during the application of ultrasound visualization in the second group decreased from 6,7% to 0% (p=0,04).
Conclusions. When it is technically possible we recommend to use ultrasound visualization as the «gold standard» of the radial artery puncture and catheterization.
Key words: radial artery catheterization, ultrasound visualization, multiple organs dysfunction syndrome.
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Information about authors:
Tochilo S.A. - Candidate of Medical Sciences, anesthesiologist-resuscitator, Mogilev Regional Hospital;
Gromozdov D.A. - anesthesiologist – resuscitator, Mogilev Regional Hospital;
Dmitriyeva V.N. - anesthesiologist – resuscitator, Mogilev Regional Hospital;
Gorelikov A.V. - head of the Angiography Department, Mogilev Regional Hospital;
Marochkov A.A. - roentgenoendovascular surgeon, Mogilev Regional Hospital;
Klishevich F.N. - roentgenoendovascular surgeon, Mogilev Regional Hospital;
Tulya E.O. - roentgenoendovascular surgeon, Mogilev Regional Hospital;
Shiryaev S.M. - roentgenoendovascular surgeon, Mogilev Regional Hospital.
Correspondence address: Republic of Belarus, 210023, Mogilev, 12 Belynitskogo-Biruli str., Mogilev Regional Hospital. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Tochilo Sergey A.
