Hemodynamics, fluids & transfusion
Evaluation of a new insertion site for arterial pressure line in intensive care unit management: a prospective study
Authors' conclusion
DRA is as safe and effective as the TRA, suggesting that it is useful as a new A-line insertion site.
Study context
- Population
- Patients (≥ 20 years) brought for emergency care requiring arterial line insertion in the intensive care unit (ICU)193 with data
- Participants
- 200 patients
- Exposure
- Distal radial approach (DRA) vs traditional radial approach (TRA)
- DRAn = 97
- TRAn = 96reference
- Outcome
- Accidental removal rate
Methodological detailssingle-centre, quasi-randomised
- Single-centre
- Quasi-randomised
Main finding
As reported in the abstract
Accidental removal
TRA
10
events
DRA
11
events
P > 0.99
Observational data: associations, not effects.
Further findings
Events
| Outcome | TRA | DRA | P value |
|---|---|---|---|
| Procedural success | 95 | 94 | |
| Guidewire use during insertionSignificantly more common in DRA | P < 0.01 | ||
| Post-puncture splint fixationSignificantly more common in TRA | P < 0.01 |
Original publication
Evaluation of a new insertion site for arterial pressure line in intensive care unit management: a prospective study. J Clin Monit Comput. Published 22 December 2022. doi:10. 1007/ s10877-022-00957-4
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