采用足背动脉与胫后动脉进行动脉插管成功率的评估：一项临床对比研究。

Evaluation of Success of Arterial Cannulation Employing the Dorsalis Pedis Artery Versus Posterior Tibial Artery: A Clinical Comparative Study.

作者信息

Haldar Rudrashish, Kumar Singh Tapas, Saikia Priyam, Kumar Kannaujia Ashish, Mishra Prabhaker, Agarwal Anil

机构信息

Department of Anaesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Department of Anaesthesia, Gauhati Medical College, Guwahati, India.

出版信息

Turk J Anaesthesiol Reanim. 2023 Feb;51(1):55-61. doi: 10.5152/TJAR.2023.22826.

DOI:10.5152/TJAR.2023.22826

PMID:36847320

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10081096/

Abstract

OBJECTIVE

The dorsalis pedis artery and posterior tibial artery are recognised sites for arterial cannulation. This study aimed to compare the first-attempt success rates of cannulation along with other cannulation characteristics of these 2 arteries in adult patients undergoing surgery under general anaesthesia using the conventional palpatory method.

METHODS

Two hundred twenty adults were allocated randomly into 2 groups. The dorsalis pedis artery and posterior tibial artery were attempted for cannulation in the dorsalis pedis artery and posterior tibial artery group, respectively. First-attempt success rates, cannulation times, number of attempts, ease of cannulation, and complications were recorded.

RESULTS

Demographic characteristics, pulse characteristics, single-attempt success rates, ease of cannulation, reasons for failure, and complications were similar. Single-attempt success rates were similar (64.5% and 61.8%, P = .675) with equal median attempt. Easy cannulation (Visual Analogue Scale score ≤4) was the same in both groups, whereas percentages of difficult cannulation (Visual Analogue Scale scores ≥4) were 16.4% and 19.1% in the dorsalis pedis artery and posterior tibial artery groups, respectively. Cannulation time was lower in the dorsalis pedis artery group [median time in seconds: 37 (28, 63) seconds vs. 44 (29, 75) seconds, P = .027]. Single-attempt success rates were lower in the feeble pulse group as compared to the strong pulse group (48.61% vs. 70.27%, P = .002). Likewise, a higher Visual Analogue Scale of ease of cannulation (>4 score) was seen in the feeble pulse group compared to the strong pulse group (26.39% vs. 13.51%, P = .019).

CONCLUSIONS

The single-attempt success rate was similar for both dorsalis pedis artery and posterior tibial artery. However, the time taken for cannulating the posterior tibial artery is significantly higher than that for dorsalis pedis artery.

摘要

目的

足背动脉和胫后动脉是公认的动脉穿刺部位。本研究旨在比较在全身麻醉下接受手术的成年患者中，使用传统触诊法对这两条动脉进行穿刺的首次尝试成功率以及其他穿刺特征。

方法

220名成年人被随机分为两组。分别在足背动脉组和胫后动脉组尝试对足背动脉和胫后动脉进行穿刺。记录首次尝试成功率、穿刺时间、尝试次数、穿刺难易程度及并发症。

结果

人口统计学特征、脉搏特征、单次尝试成功率、穿刺难易程度、失败原因及并发症相似。单次尝试成功率相似（64.5%和61.8%，P = 0.675），中位数尝试次数相同。两组的容易穿刺（视觉模拟评分≤4）情况相同，而足背动脉组和胫后动脉组的困难穿刺（视觉模拟评分≥4）百分比分别为16.4%和19.1%。足背动脉组的穿刺时间更低[中位数时间（秒）：37（28，63）秒对44（29，75）秒，P = 0.027]。与强脉组相比，弱脉组的单次尝试成功率更低（48.61%对70.27%，P = 0.002）。同样，与强脉组相比，弱脉组的穿刺容易程度视觉模拟评分更高（>4分）（26.39%对13.51%，P = 0.019）。