Zhu Yi,Du Zhen,Wang Lina,et al.Application of ultrasonically-guided radial arterial cannulation in infants[J].Journal of Clinical Pediatric Surgery,,18():699-702.[doi:10.3969/j.issn.1671-6353.2019.08.016]
Application of ultrasonically-guided radial arterial cannulation in infants
- Keywords:
- Punctures; Radial Artery/US; Infant
- CLC:
- R445.1;R45
- Abstract:
- Objective To explore the ultrasonically-guided radial arterial cannulation in infants.Methods Eighty surgical infants aged 1-12 months requiring an arterial catheter were randomly divided into ultrasonically-guided and classic palpation groups.The ultrasonic device was employed for radial arterial cannulation in ultrasonically-guided group.And,for infants in classic palpation group,classic palpation was used for determining the position of radial artery.Period of puncture time and numbers of attempts were recorded.And initial attempt success rate,total success rate,time to success,time to initial attempt and mean number of attempts were compared between two groups.Results Compare to the classic palpation group,initial attempt rate and total success for ultrasound guided group were higher (72.5% vs 50%,97.5% vs 80%)(P<0.05).One failed puncture case was present in ultrasonically-guided group and punctures succeed after replacing puncture site.In classic palpation group,all eight failed cases during puncturing were successfully performed under ultrasonic guidance.The mean time to success for ultrasonically-guided group were shorter than that for classic palpation group[(66.6±56.9) vs (120±94.9)s,t=3.052,P=0.003].Time to initial attempt success was not significantly different between two groups[(36.3±16.2) vs (38.3±19.1)s](P>0.05).The frequency of attempts for ultrasonically-guided group was less than those for classic palpation group[1(1~2) vs 1.5(1~3)],(χ2=3.900,P<0.05).The number of needles used in ultrasonically-guided group was less than those in classic palpation group[1(1~1) vs 1(1~2)] (χ2=3.464,P<0.05),cannulation complications were lower in ultrasonically-guided group than those in classic palpation group (1 vs 7) (χ2=4.507,P<0.05). Conclusion The application of ultrasonically-guided technology is reliable for radial artery cannulation in infants.It may improve the success rate,allow for faster cannulation and result in fewer complications.
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Memo
收稿日期:2018-05-20。
基金项目:湖南省科技计划项目基金资助（编号：S2012F1023）
通讯作者:屈双权,Email:qushuangquan1974@163.com