Document Detail


Prospective comparative study on the hemodynamic and functional consequences of arterial monitoring catheters in intensive care patients on the short and long term.
MedLine Citation:
PMID:  16769467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Riro Hoencamp; Chris Ulrich; Sabine A J Verschuren; Jari M van Baalen
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of critical care     Volume:  21     ISSN:  0883-9441     ISO Abbreviation:  J Crit Care     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-13     Completed Date:  2006-11-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8610642     Medline TA:  J Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  193-6     Citation Subset:  IM    
Affiliation:
University Medical Center, Leiden, The Netherlands. info@aquamed.nl
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MeSH Terms
Descriptor/Qualifier:
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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