Hemodynamics, fluids & transfusion

Evaluation of a new insertion site for arterial pressure line in intensive care unit management: a prospective study

J Clin Monit ComputPublished Prospective comparative 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

OutcomeTRADRAP value
Procedural success9594
Guidewire use during insertionSignificantly more common in DRAP < 0.01
Post-puncture splint fixationSignificantly more common in TRAP < 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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