Long-axis in-plane combined with short-axis out-of-plane technique in ultrasound-guided arterial catheterization in infants: A randomized controlled trial

作者全名："Wang, Ziyi; Guo, Hongjie; Shi, Shujun; Xu, Ying; Ye, Mao; Bai, Lin; Tan, Yanzhe; Li, Yihui; Liu, Lifei"

作者地址："[Wang, Ziyi; Guo, Hongjie; Shi, Shujun; Xu, Ying; Ye, Mao; Bai, Lin; Tan, Yanzhe; Li, Yihui; Liu, Lifei] Chongqing Med Univ, Dept Anesthesiol, Childrens Hosp, Chongqing, Peoples R China; [Xu, Ying; Bai, Lin; Tan, Yanzhe; Li, Yihui; Liu, Lifei] Natl Clin Res Ctr Child Hlth & Disorders, Hangzhou, Peoples R China; [Xu, Ying; Ye, Mao; Bai, Lin; Tan, Yanzhe; Li, Yihui; Liu, Lifei] Minist Educ Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Xu, Ying; Ye, Mao; Bai, Lin; Tan, Yanzhe; Li, Yihui; Liu, Lifei] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Liu, Lifei] Chongqing Med Univ, Dept Anesthesiol, Childrens Hosp, 136 Zhongshan Er Rd, Chongqing 400014, Peoples R China"

通信作者："Liu, LF (通讯作者)，Chongqing Med Univ, Dept Anesthesiol, Childrens Hosp, 136 Zhongshan Er Rd, Chongqing 400014, Peoples R China."

来源：JOURNAL OF CLINICAL ANESTHESIA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000915982300001

JCR分区：Q1

影响因子：5

年份：2023

卷号：85

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Ultrasound-guided; Radial artery catheterization; Infant

摘要："Study objective: To determine whether the long-axis in-plane (LAX-IP) combined with short-axis out-of-plane (SAX-OOP) technique is more suitable than modified dynamic needle tip positioning (MDNTP) technique for ultrasound-guided radial artery catheterization in infants.Design: A randomized controlled trial. Setting: Department of Anesthesiology, Children's Hospital of Chongqing Medical University. Patients: Overall, 72 patients, aged 1-12 months old, who were primarily undergoing thoracic or cardiac surgery in the Children's Hospital of Chongqing Medical University between July 1, 2021, and March 31, 2022, were selected. These patients were randomly divided into two groups: i) the MDNTP group and ii) the LAX-IP com-bined with SAX-OOP group. Interventions: Radial artery cannulation in the two groups was performed using ultrasound-guided MDNTP or LAX-IP combined with SAX-OOP technique.Measurements: The primary outcome was first-time success rate, and the secondary outcomes included total success rate, cannulation time, and incidence of complications. Main results: In the LAX-IP combined with SAX-OOP group, the first-time success rate was 75.0% (n = 27), total success rate was 97.2% (n = 35), cannulation time was 91.39 +/- 102.60 s, puncture attempts was 1.5 +/- 1.3 times, and local hematoma was formed on the first day in one (2.8%) infant. In the MDNTP group, the first-time success rate was 36.1% (n = 13) (P = 0.001; RR, 2.08; 95% confidence interval, 1.29-3.34), total success rate was 91.7% (n = 33) (P = 0.303; RR, 1.06; 95% confidence interval, 0.95-1.19), cannulation time was 181.00 +/- 146.72 s(P = 0.047; Median difference,-89.61; 95% confidence interval,-149.12 to-30.10), puncture attempts was 2.3 +/- 1.6 times (P = 0.133; Median difference,-0.81), and local hematoma was formed on the first day in nine (25%) infants (P = 0.006; RR, 0.11; 95% confidence interval, 0.01-0.83). No thrombosis occurred in any group."

基金机构：National Clinical Research Center for Child Health and Disorders Youth Project [NCRCCHD-2021-YP-16]

基金资助正文：Funding National Clinical Research Center for Child Health and Disorders Youth Project (NCRCCHD-2021-YP-16)