Hemodynamics, fluids & transfusion

Comparison of the Incidence of Arterial Pressure Line Insufficiency Between Polyethylene and Polyurethane Catheters in the ICU: A Randomized Study

Crit Care MedPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.15 95% CI 0.05–0.48
  • early termination
  • Trial terminated early after interim analysis of 132 patients

Authors' conclusion

This study demonstrated a lower occurrence rate of arterial line insufficiency with polyethylene arterial catheters than polyurethane catheters.

Study context

Population
Adults scheduled for elective cardiovascular surgery with postoperative ICU admission, cardiovascular center in Japaninterim analysis
Participants
132 adults
Comparison
Polyethylene vs polyurethane arterial catheters
  • Polyethylenen = 69
  • Polyurethanen = 63reference
Primary endpoint
Arterial line insufficiency (≥1 of: flattened/overdamped BP waveform, sluggish free backflow >2 s, inability to draw blood, inability to flush)
Follow-up
First noon after ICU admission
Methodological detailsdouble-blinded, superiority, single-centre, interim analysis
  • Double-blinded
  • Superiority
  • Single-centre
  • Interim analysis

Primary result

As reported in the abstract

Relative risk

0.15

95% CI 0.05–0.48

P = 0.001

Events by treatment group

Polyethylene vs Polyurethane
RR 0.15 (95% CI 0.05–0.48); P = 0.001

Original publication

Comparison of the Incidence of Arterial Pressure Line Insufficiency Between Polyethylene and Polyurethane Catheters in the ICU: A Randomized Study. Crit Care Med. Published 16 July 2025. doi:10.1097/ccm.0000000000006794

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