Academic Journal

Distal radial artery as an alternative approach to forearm radial artery for perioperative blood pressure monitoring: a randomized, controlled, noninferiority trial

التفاصيل البيبلوغرافية
العنوان: Distal radial artery as an alternative approach to forearm radial artery for perioperative blood pressure monitoring: a randomized, controlled, noninferiority trial
المؤلفون: Jingwei Xiong, Kangli Hui, Miaomiao Xu, Jiejie Zhou, Jie Zhang, Manlin Duan
المصدر: BMC Anesthesiology, Vol 22, Iss 1, Pp 1-9 (2022)
بيانات النشر: BMC, 2022.
سنة النشر: 2022
المجموعة: LCC:Anesthesiology
مصطلحات موضوعية: Distal radial artery, Arterial catheterization, Blood pressure monitoring, Noninferiority, Anesthesiology, RD78.3-87.3
الوصف: Abstract Background The novel distal radial artery (dRA) approach is a popular arterial access route for interventional cardiology and neurointerventions. We explored the dRA as an alternative site to the classic forearm radial artery (RA) for perioperative blood pressure monitoring. We hypothesized that dRA catheterization is noninferior to RA for the first attempt success rate. Methods This was a single-center, prospective, randomized controlled, noninferiority study. Adult patients who underwent elective surgery at the Jinling Hospital from May 2021 to August 2021 were enrolled. The primary endpoint was to test the noninferiority of the first attempt success rate between the groups. Secondary endpoints included anatomical characteristics, catheterization time, arterial posterior wall puncture rate, postoperative compression time, dampened arterial pressure waveforms, and complications. Results Totally, 161 patients who received either dRA (n = 81) or RA (n = 80) catheterization were analyzed. The first attempt success rates were 87.7 and 91.3% in the dRA and RA groups, respectively, with a mean difference of − 3.6% (95% CI, − 13.1 to 5.9%). The dRA diameter and cross-sectional area were significantly smaller than those of the RA (P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2253
Relation: https://doaj.org/toc/1471-2253
DOI: 10.1186/s12871-022-01609-5
URL الوصول: https://doaj.org/article/5eafa02a40364d999530247ad682e5cc
رقم الانضمام: edsdoj.5eafa02a40364d999530247ad682e5cc
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712253
DOI:10.1186/s12871-022-01609-5