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[Comparison of usefulness of the dorsal branch of the radial artery with the radial artery for arterial cannulation].

Authors: Yoshinobu, Kimura; Saori, Kimura; Hikaru, Inoue; Masanori, Yamauchi; Shinzo, Sumita;

[Comparison of usefulness of the dorsal branch of the radial artery with the radial artery for arterial cannulation].

Abstract

The radial artery cannulation is often associated with damped arterial waveforms with the hand moving. We used cannulation of the dorsal branch of the radial artery (DRA) and compared the stability of measurement, safety and complications with those of the radial artery(RA).The study was a prospective single-blinded comparative study. Seventy-six patients undergoing general anesthesia requiring arterial cannulation were included. Patients were divided randomly into two separate groups of 35 patients each according to cannulation site: the radial artery (RA group) or the dorsal branch of the radial artery (DRA group). After induction of general anesthesia, cannulation was performed. Three hours after the successful cannulation, the changes of waveforms were noted with the hand moving. We examined whether there were any complications around the cannulation site after cannula removal.With the wrist flexion at all angles (30, 60 and 90 degrees), the frequency of worsening of arterial waveforms was significantly higher in RA group compared with DRA group. Some difficulties in catheter placement were observed in DRA group. No concomitant complication was noticed.Arterial line monitoring from DRA had better waveforms compared with RA monitoring without any complications.

Keywords

Adult, Aged, 80 and over, Male, Adolescent, Movement, Anesthesia, General, Middle Aged, Wrist, Young Adult, Catheterization, Peripheral, Radial Artery, Humans, Female, Single-Blind Method, Prospective Studies, Aged, Randomized Controlled Trials as Topic

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Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Top 10%
Average
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