| Ultrasound-guided catheterization of the radial artery: a systematic review and meta-analysis of randomized controlled trials. | |
| | |
MedLine Citation:
|
PMID: 20724734 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Ultrasound guidance commonly is used for the placement of central venous catheters (CVCs). The Agency for Healthcare Research and Quality recommends the use of ultrasound for CVC placement as one of its 11 practices to improve patient care. Despite increased access to portable ultrasound machines and comfort with ultrasound-guided CVC access, fewer clinicians are familiar with ultrasound-guided techniques of arterial catheterization. The goal of this systematic review and meta-analysis was to determine the utility of real-time two-dimensional ultrasound guidance for radial artery catheterization. METHODS: A comprehensive literature search of Medline, Excerpta Medica Database, and the Cochrane Central Register of Controlled Trials by two independent reviewers identified prospective, randomized controlled trials comparing ultrasound guidance with traditional palpation techniques of radial artery catheterization. Data were extracted on study design, study size, operator and patient characteristics, and the rate of first-attempt success. A meta-analysis was constructed to analyze the data. RESULTS: Four trials with a total of 311 subjects were included in the review, with 152 subjects included in the palpation group and 159 in the ultrasound-guided group. Compared with the palpation method, ultrasound guidance for arterial catheterization was associated with a 71% improvement in the likelihood of first-attempt success (relative risk, 1.71; 95% CI, 1.25-2.32). CONCLUSIONS: The use of real-time two-dimensional ultrasound guidance for radial artery catheterization improved first-pass success rate. |
| | |
Authors:
|
Ariel L Shiloh; Richard H Savel; Laura M Paulin; Lewis A Eisen |
Related Documents
:
|
7070894 - Pulmonary artery sling: a new diagnostic tool and clinical review. 382824 - Innominate aterial arteriovenous fistula complicating retrograde brachial arterial cath... 3574814 - Measurement of cardiac output during pregnancy: validation of doppler technique and cli... 6673854 - Cardiac lymph drainage in experimental african trypanosomiasis in vervet monkeys. 17827624 - Anaesthetic management of a patient undergoing whole lung lavage for pulmonary alveolar... 8417904 - Diagnosis of circumferential dissection of the ascending aorta by transesophageal echoc... |
Publication Detail:
|
Type: Journal Article; Meta-Analysis; Review Date: 2010-08-19 |
Journal Detail:
|
Title: Chest Volume: 139 ISSN: 1931-3543 ISO Abbreviation: Chest Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-03-02 Completed Date: 2011-04-21 Revised Date: 2011-08-04 |
Medline Journal Info:
|
Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
|
Languages: eng Pagination: 524-9 Citation Subset: AIM; IM |
Affiliation:
|
Division of Critical Care Medicine, Montefiore Medical Center and The Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467, USA. arielshiloh@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Catheterization, Peripheral
/
methods* Humans Radial Artery / ultrasonography* Randomized Controlled Trials as Topic Reproducibility of Results Treatment Outcome Ultrasonography, Doppler* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Noninvasive diagnosis of pulmonary embolism.
Next Document: Airway hyperresponsiveness in children with sickle cell anemia.