Maitra Souvik, Ray Bikash R, Bhattacharjee Sulagna, Baidya Dalim K, Dhua Debargha, Batra Ravinder K
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Department of Cardiology, Gouridevi Hospital and Research Institute, Durgapur, West Bengal, India.
Saudi J Anaesth. 2019 Jan-Mar;13(1):60-62. doi: 10.4103/sja.SJA_700_18.
Safety and feasibility of distal radial artery cannulation at the anatomic snuffbox in the perioperative settings in adult patients have been assessed in this study.
Adult patients undergoing elective surgery requiring arterial cannulation were recruited in this retrospective cohort study.
Data of 55 patients have been reviewed here; among which in 21 patients, arterial puncture was performed ultrasound guidance and in 34 patients puncture was guided by the pulsation of the distal radial artery at the anatomical snuffbox. First attempt success rate of distal radial arterial cannulation was 76.3% (42 of 55 patients) and it was similar between ultrasound guided (USG) and palpation technique ( = 0.53, Chi-square test). Overall, cannulation success rate was 87.3% (48 of 55 patients) and it was also similar between USG and palpation technique ( = 0.79, Chi-square test).
Distal radial artery cannulation is technically feasible in patients undergoing elective surgery. However, further randomized controlled trials are required to establish its clinical utility and safety profile in comparison to conventional radial artery cannulation.
本研究评估了成年患者围手术期在解剖鼻烟壶处进行桡动脉远端置管的安全性和可行性。
本回顾性队列研究纳入了接受需要动脉置管的择期手术的成年患者。
这里回顾了55例患者的数据；其中21例患者在超声引导下进行动脉穿刺，34例患者通过解剖鼻烟壶处桡动脉远端的搏动进行穿刺。桡动脉远端置管的首次尝试成功率为76.3%（55例患者中的42例），在超声引导（USG）和触诊技术之间相似（P = 0.53，卡方检验）。总体而言，置管成功率为87.3%（55例患者中的48例），在USG和触诊技术之间也相似（P = 0.79，卡方检验）。
桡动脉远端置管在接受择期手术的患者中技术上是可行的。然而，与传统桡动脉置管相比，需要进一步的随机对照试验来确定其临床效用和安全性。
