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Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents
INTRODUCTION: We sought to determine whether ultrasound-guided arterial cannulation (USGAC) is more successful than traditional radial artery cannulation (AC) as performed by emergency medicine (EM) residents with standard ultrasound training. METHODS: We identified 60 patients age 18 years or older...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081869/ https://www.ncbi.nlm.nih.gov/pubmed/32191193 http://dx.doi.org/10.5811/westjem.2019.12.44583 |
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author | Wilson, Casey Rose, David Kelen, Gabor D. Billioux, Veena Bright, Leah |
author_facet | Wilson, Casey Rose, David Kelen, Gabor D. Billioux, Veena Bright, Leah |
author_sort | Wilson, Casey |
collection | PubMed |
description | INTRODUCTION: We sought to determine whether ultrasound-guided arterial cannulation (USGAC) is more successful than traditional radial artery cannulation (AC) as performed by emergency medicine (EM) residents with standard ultrasound training. METHODS: We identified 60 patients age 18 years or older at a tertiary care, urban academic emergency department who required radial AC for either continuous blood pressure monitoring or frequent blood draws. Patients were randomized to receive radial AC via either USGAC or traditional AC. If there were three unsuccessful attempts, patients were crossed over to the alternative technique. All EM residents underwent standardized, general ultrasound training. RESULTS: The USGAC group required fewer attempts as compared to the traditional AC group (mean 1.3 and 2.0, respectively; p<0.001); 29 out of 30 (96%) successful radial arterial lines were placed using USGAC, whereas 14 out of 30 (47%) successful lines were placed using traditional AC (p<0.001). There was no significant difference in length of procedure or complication rate between the two groups. There was no difference in provider experience with respect to USGAC vs traditional AC. CONCLUSION: EM residents were more successful and had fewer cannulation attempts with USGAC when compared to traditional AC after standard, intern-level ultrasound training. |
format | Online Article Text |
id | pubmed-7081869 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-70818692020-03-24 Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents Wilson, Casey Rose, David Kelen, Gabor D. Billioux, Veena Bright, Leah West J Emerg Med Technology in Emergency Medicine INTRODUCTION: We sought to determine whether ultrasound-guided arterial cannulation (USGAC) is more successful than traditional radial artery cannulation (AC) as performed by emergency medicine (EM) residents with standard ultrasound training. METHODS: We identified 60 patients age 18 years or older at a tertiary care, urban academic emergency department who required radial AC for either continuous blood pressure monitoring or frequent blood draws. Patients were randomized to receive radial AC via either USGAC or traditional AC. If there were three unsuccessful attempts, patients were crossed over to the alternative technique. All EM residents underwent standardized, general ultrasound training. RESULTS: The USGAC group required fewer attempts as compared to the traditional AC group (mean 1.3 and 2.0, respectively; p<0.001); 29 out of 30 (96%) successful radial arterial lines were placed using USGAC, whereas 14 out of 30 (47%) successful lines were placed using traditional AC (p<0.001). There was no significant difference in length of procedure or complication rate between the two groups. There was no difference in provider experience with respect to USGAC vs traditional AC. CONCLUSION: EM residents were more successful and had fewer cannulation attempts with USGAC when compared to traditional AC after standard, intern-level ultrasound training. Department of Emergency Medicine, University of California, Irvine School of Medicine 2020-03 2020-02-26 /pmc/articles/PMC7081869/ /pubmed/32191193 http://dx.doi.org/10.5811/westjem.2019.12.44583 Text en Copyright: © 2020 Wilson et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Technology in Emergency Medicine Wilson, Casey Rose, David Kelen, Gabor D. Billioux, Veena Bright, Leah Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents |
title | Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents |
title_full | Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents |
title_fullStr | Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents |
title_full_unstemmed | Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents |
title_short | Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents |
title_sort | comparison of ultrasound-guided vs traditional arterial cannulation by emergency medicine residents |
topic | Technology in Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081869/ https://www.ncbi.nlm.nih.gov/pubmed/32191193 http://dx.doi.org/10.5811/westjem.2019.12.44583 |
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