| Prospective comparative study on the hemodynamic and functional consequences of arterial monitoring catheters in intensive care patients on the short and long term. | |
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MedLine Citation:
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PMID: 16769467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: In intensive care wards, arterial catheters are a relevant instrument to monitor vital functions. However, the effect of arterial catheterization on hemodynamic function in elective patients in the short and long term is unknown. AIM: The objective of this study was to examine the possible damaging effects of arterial monitoring catheters on arterial functioning in intensive care patients after elective surgery. PATIENTS AND METHODS: Twenty-three patients with an arterial catheter were examined; the nonaffected arm was used as control. The use of the a. radialis/a. ulnaris ratio for the assessment of artery functioning was validated with 20 healthy individuals and the nonaffected control arm of the examined patients. Arterial function was measured with a Doppler monitoring device and a subjective assessment distress list. All patients were assessed before insertion and 1 day, 5 days, and 30 days after removal. Data were analyzed by means of multivariate analysis of variance and t test. RESULTS: A significant decrease in the a. radialis/a. ulnaris ratio was found 1 day and 5 days after removal (t1 P = .04, t5 P = .003, and multivariate analysis of variance P = .033), against no significant change after 30 days. Subjective assessment showed no relevant clinical negative impact. CONCLUSION: There is significant change in the hemodynamic function of the artery 1 day and 5 days after removal, but this significant change disappears after 30 days. An arterial monitoring catheter causes a functional arterial change in the affected arm in the short term and no significant difference in the long term. Therefore, arterial catheterization is a safe procedure after short-term cannulation. Second, the systolic blood pressure ratio of the a. radialis/a. ulnaris is a valuable tool in the assessment of the hemodynamic function of the a. radialis after radial cannulation. |
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Authors:
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Riro Hoencamp; Chris Ulrich; Sabine A J Verschuren; Jari M van Baalen |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of critical care Volume: 21 ISSN: 0883-9441 ISO Abbreviation: J Crit Care Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-06-13 Completed Date: 2006-11-14 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8610642 Medline TA: J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 193-6 Citation Subset: IM |
Affiliation:
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University Medical Center, Leiden, The Netherlands. info@aquamed.nl |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Blood Pressure Catheters, Indwelling / adverse effects Female Hemodynamics* Humans Intensive Care* Intensive Care Units Male Middle Aged Monitoring, Physiologic* / adverse effects Prospective Studies Reference Values Treatment Outcome Ulnar Artery / physiopathology Ultrasonography, Doppler |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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