Hemodynamics, fluids & transfusion
Feasibility and safety analysis of distal radial arterial catheterization for arterial pressure monitoring in intensive care unit (ICU)
Authors' conclusion
Despite lower first-attempt success rates, DRA catheterization provides equivalent monitoring stability to CRA with significantly reduced hemostasis time and comparable safety profiles.
Study context
- Population
- ICU patients requiring invasive arterial pressure monitoring, May 2024 to March 2025
- Participants
- 197 patients
- Comparison
- Distal radial artery (DRA) vs conventional radial artery (CRA)
- DRAn = 99
- CRAn = 98reference
- Primary endpoint
- First-attempt puncture success rate
Methodological detailssingle-centre, prospective
- Single-centre
- Prospective
Primary result
As reported in the abstract
P = 0.022
Secondary outcomes
Total catheterization time · similar between groups
P = 0.175
Hemostasis time · significantly shorter in DRA
P < 0.001
| Outcome | P value |
|---|---|
| Final success rate (with ultrasound assistance)Comparable between groups | P = 0.993 |
Abnormal waveform frequency
- Similar between groups
Safety
Complications · no statistically significant difference
P = 0.621
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Feasibility and safety analysis of distal radial arterial catheterization for arterial pressure monitoring in ICU. J Clin Monit Comput. Published 24 June 2025. doi:10. 1007/ s10877-025-01313-y
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