Centrale Operativa 118 Emilia Est (Prehospital Emergency Medical Dispatch Centre), Helicopter Emergency Medical Services, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.
Department of Medical and Surgical Sciences, School of Medicine and Surgery, University of Bologna, Bologna, Italy.
J Vasc Access. 2024 Mar;25(2):363-368. doi: 10.1177/11297298221101243. Epub 2022 Jun 2.
Radial arterial catheters (RAC) are used extensively across critical care settings (Anesthesia, Intensive Care, Emergency Medicine) for continuous hemodynamic monitoring, allowing for immediate adjustments in vasopressor therapies and blood collection. Radial catheter failures are an ongoing significant issue for critical care clinicians with reported incidences at almost 25%. Common complications include loss of function, lack of blood return, poor quality waveforms and dislodgement, posing potential patient risks, and sudden loss of intra-arterial monitoring frequently requires prompt replacement. Contemporary research and technological improvements have highlighted several concepts to enhance the approach of RAC insertion and management while reducing immediate and late complications. The authors have prioritized the following 10 "best practice" aspects that may improve overall device function and reliability.
桡动脉导管（RAC）在重症监护环境（麻醉、重症监护、急诊医学）中被广泛使用，用于连续的血流动力学监测，可立即调整血管加压素治疗和血液采集。桡动脉导管故障是重症监护临床医生面临的一个持续存在的重大问题，据报道，其发生率接近 25%。常见并发症包括功能丧失、无回血、波形质量差和移位，给患者带来潜在风险，且突然失去动脉内监测通常需要迅速更换。当前的研究和技术改进强调了一些概念，以增强 RAC 插入和管理的方法，同时减少即时和晚期并发症。作者优先考虑以下 10 个“最佳实践”方面，这些方面可能会提高设备的整体功能和可靠性。
