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Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial
BACKGROUND: Whether use of ultrasound (USG) to cannulate dorsalis pedis artery (DPA) increases first pass successful cannulation, decreases the number of attempts and complications as compared to palpation technique was assessed in this study. DESIGN: Randomized controlled trial. SETTING: Operating...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753743/ https://www.ncbi.nlm.nih.gov/pubmed/31572072 http://dx.doi.org/10.4103/sja.SJA_766_18 |
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author | Anand, Rahul Kumar Maitra, Souvik Ray, Bikas Ranjan Baidhya, Dalim Kumar Khanna, Puneet Chowdhury, Sumit Roy Subramaniam, Rajeshwari |
author_facet | Anand, Rahul Kumar Maitra, Souvik Ray, Bikas Ranjan Baidhya, Dalim Kumar Khanna, Puneet Chowdhury, Sumit Roy Subramaniam, Rajeshwari |
author_sort | Anand, Rahul Kumar |
collection | PubMed |
description | BACKGROUND: Whether use of ultrasound (USG) to cannulate dorsalis pedis artery (DPA) increases first pass successful cannulation, decreases the number of attempts and complications as compared to palpation technique was assessed in this study. DESIGN: Randomized controlled trial. SETTING: Operating room. PATIENTS: About 60 adult patients undergoing any head–neck or faciomaxillary surgery requiring arterial cannulation were enrolled. INTERVENTION: DPA was cannulated either by USG-guided technique (USG group) or by palpation technique (palpation group) with 30 patients in each group. MEASUREMENT: Data were assessed for “first-attempt success” of cannulation, number of attempts, assessment time, cannulation time, cannulation failure, and incidence of complications. MAIN RESULTS: Successful first pass DPA cannulation was similar between the groups (ultrasound group vs. palpation group, 76.7% vs. 60%, respectively) [relative risk (95% confidence interval (CI) = 0.69 (0.43, 1.13), P = 0.267)] as was the number of attempts required for successful cannulation [median (interquartile range (IQR) number of attempts 1 (1–2) in palpation group P and USG group U 1 (1–1); P = 0.376]. Median (IQR) assessment time was significantly less (P < 0.0004) in palpation group [palpation group 12 (9–17) vs. USG group U 19 (15–21)]. However, cannulation time was significantly higher (P = 0.0093) in Group P [median (IQR) 17.5 (12–36 s) and 11.5 (9–15)]. Although the total procedure time (sum of both assessment time and cannulation time) remain statistically similar between two groups (P = 0.8882). CONCLUSIONS: Use of USG for the cannulation of DPA is feasible, but it is not associated with significant increase in first-attempt success rate, decrease in total number of cannulation attempts or total procedure time. |
format | Online Article Text |
id | pubmed-6753743 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-67537432019-10-01 Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial Anand, Rahul Kumar Maitra, Souvik Ray, Bikas Ranjan Baidhya, Dalim Kumar Khanna, Puneet Chowdhury, Sumit Roy Subramaniam, Rajeshwari Saudi J Anaesth Original Article BACKGROUND: Whether use of ultrasound (USG) to cannulate dorsalis pedis artery (DPA) increases first pass successful cannulation, decreases the number of attempts and complications as compared to palpation technique was assessed in this study. DESIGN: Randomized controlled trial. SETTING: Operating room. PATIENTS: About 60 adult patients undergoing any head–neck or faciomaxillary surgery requiring arterial cannulation were enrolled. INTERVENTION: DPA was cannulated either by USG-guided technique (USG group) or by palpation technique (palpation group) with 30 patients in each group. MEASUREMENT: Data were assessed for “first-attempt success” of cannulation, number of attempts, assessment time, cannulation time, cannulation failure, and incidence of complications. MAIN RESULTS: Successful first pass DPA cannulation was similar between the groups (ultrasound group vs. palpation group, 76.7% vs. 60%, respectively) [relative risk (95% confidence interval (CI) = 0.69 (0.43, 1.13), P = 0.267)] as was the number of attempts required for successful cannulation [median (interquartile range (IQR) number of attempts 1 (1–2) in palpation group P and USG group U 1 (1–1); P = 0.376]. Median (IQR) assessment time was significantly less (P < 0.0004) in palpation group [palpation group 12 (9–17) vs. USG group U 19 (15–21)]. However, cannulation time was significantly higher (P = 0.0093) in Group P [median (IQR) 17.5 (12–36 s) and 11.5 (9–15)]. Although the total procedure time (sum of both assessment time and cannulation time) remain statistically similar between two groups (P = 0.8882). CONCLUSIONS: Use of USG for the cannulation of DPA is feasible, but it is not associated with significant increase in first-attempt success rate, decrease in total number of cannulation attempts or total procedure time. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6753743/ /pubmed/31572072 http://dx.doi.org/10.4103/sja.SJA_766_18 Text en Copyright: © 2019 Saudi Journal of Anesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Anand, Rahul Kumar Maitra, Souvik Ray, Bikas Ranjan Baidhya, Dalim Kumar Khanna, Puneet Chowdhury, Sumit Roy Subramaniam, Rajeshwari Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial |
title | Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial |
title_full | Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial |
title_fullStr | Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial |
title_full_unstemmed | Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial |
title_short | Comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: A randomized controlled trial |
title_sort | comparison of ultrasound-guided versus conventional palpatory method of dorsalis pedis artery cannulation: a randomized controlled trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753743/ https://www.ncbi.nlm.nih.gov/pubmed/31572072 http://dx.doi.org/10.4103/sja.SJA_766_18 |
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