Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study
DC Field | Value | Language |
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dc.contributor.author | Kim, Soo Yeon | - |
dc.contributor.author | Kim, Kyu Nam | - |
dc.contributor.author | Jeong, Mi Ae | - |
dc.contributor.author | Lee, Bong Soo | - |
dc.contributor.author | Lim, Hyun Jin | - |
dc.date.accessioned | 2022-07-06T18:37:39Z | - |
dc.date.available | 2022-07-06T18:37:39Z | - |
dc.date.created | 2021-07-14 | - |
dc.date.issued | 2021-05 | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/141933 | - |
dc.description.abstract | Background Radial artery cannulation, which is a useful procedure for anesthetic management, is often challenging in elderly patients. Recently, the dynamic needle tip positioning (DNTP) technique was introduced to facilitate ultrasound-guided vascular catheterization. Therefore, we performed this prospective, parallel group, randomized, controlled trial to compare the ultrasound-guided DNTP technique with the palpation method in elderly patients. Methods For this study, 256 patients aged 65 years or older were randomly allocated to the ultrasound-guided DNTP technique group (DNTP group) or the palpation method group (palpation group). The primary outcome was first-attempt success rate. The secondary outcomes were overall success rate, numbers of attempts and redirections, cannulation time, and incidence of complications. Results The first-attempt success rate (85.9% vs. 72.3%; relative risk [RR], 1.47; 95% CI 1.25-1.72; P<0.001) and the overall success rate (99.2% vs. 93.0%; RR, 1.07; 95% CI 1.02-1.12; P = 0.01) were significantly higher in the DNTP group compared to the palpation group. The numbers of attempts [1 (1,1) vs. 1 (1,3), P<0.001] and redirections [0 (0,1) vs. 2 (0,4), P<0.001] were significantly lower in the DNTP group. The cannulation time for successful attempts was 42 (32,55) seconds in the DNTP group and 53 (36,78) seconds in the palpation group (P<0.001). The incidence of hematoma was significantly lower in the DNTP group (7% vs. 24.2%; RR, 0.29; 95% CI, 0.14-0.59; P<0.001). Conclusions Ultrasound-guided radial artery cannulation with the DNTP technique improved the efficiency of radial artery cannulation in elderly patients by increasing the success rate while minimizing complications. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Public Library of Science | - |
dc.title | Ultrasound-guided dynamic needle tip positioning technique for radial artery cannulation in elderly patients: A prospective randomized controlled study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Kyu Nam | - |
dc.contributor.affiliatedAuthor | Jeong, Mi Ae | - |
dc.identifier.doi | 10.1371/journal.pone.0251712 | - |
dc.identifier.scopusid | 2-s2.0-85105960055 | - |
dc.identifier.wosid | 000662175000067 | - |
dc.identifier.bibliographicCitation | PLoS ONE, v.16, no.5, pp.1 - 13 | - |
dc.relation.isPartOf | PLoS ONE | - |
dc.citation.title | PLoS ONE | - |
dc.citation.volume | 16 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1 | - |
dc.citation.endPage | 13 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Science & Technology - Other Topics | - |
dc.relation.journalWebOfScienceCategory | Multidisciplinary Sciences | - |
dc.subject.keywordPlus | LONG-AXIS/IN-PLANE | - |
dc.subject.keywordPlus | PALPATION TECHNIQUE | - |
dc.subject.keywordPlus | OF-PLANE | - |
dc.subject.keywordPlus | CATHETERIZATION | - |
dc.subject.keywordPlus | GUIDANCE | - |
dc.subject.keywordPlus | ANESTHESIOLOGY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordPlus | AGE | - |
dc.identifier.url | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251712 | - |
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