Ultrasound-guided catheterization of the radial artery: A systematic review and meta-analysis of randomized controlled trials

Ariel L. Shiloh, Richard H. Savel, Laura M. Paulin, Lewis Eisen

Research output: Contribution to journalArticle

115 Citations (Scopus)

Abstract

Background: Ultrasound guidance commonly is used for the placement of central venous catheters (CVCs). The Agency for Healthcare Research and Quality recommends the use of ultrasound for CVC placement as one of its 11 practices to improve patient care. Despite increased access to portable ultrasound machines and comfort with ultrasound-guided CVC access, fewer clinicians are familiar with ultrasound-guided techniques of arterial catheterization. The goal of this systematic review and meta-analysis was to determine the utility of real-time two-dimensional ultrasound guidance for radial artery catheterization. Methods: A comprehensive literature search of Medline, Excerpta Medica Database, and the Cochrane Central Register of Controlled Trials by two independent reviewers identified prospective, randomized controlled trials comparing ultrasound guidance with traditional palpation techniques of radial artery catheterization. Data were extracted on study design, study size, operator and patient characteristics, and the rate of first-attempt success. A meta-analysis was constructed to analyze the data. Results: Four trials with a total of 311 subjects were included in the review, with 152 subjects included in the palpation group and 159 in the ultrasound-guided group. Compared with the palpation method, ultrasound guidance for arterial catheterization was associated with a 71% improvement in the likelihood of first-attempt success(relative risk, 1.71;95% CI, 1.25-2.32). Conclusions: The use of real-time two-dimensional ultrasound guidance for radial artery catheterization improved first-pass success rate.

Original languageEnglish (US)
Pages (from-to)524-529
Number of pages6
JournalChest
Volume139
Issue number3
DOIs
StatePublished - Mar 1 2011

Fingerprint

Radial Artery
Catheterization
Meta-Analysis
Randomized Controlled Trials
Central Venous Catheters
Palpation
Health Services Research
Patient Care
Databases

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Ultrasound-guided catheterization of the radial artery : A systematic review and meta-analysis of randomized controlled trials. / Shiloh, Ariel L.; Savel, Richard H.; Paulin, Laura M.; Eisen, Lewis.

In: Chest, Vol. 139, No. 3, 01.03.2011, p. 524-529.

Research output: Contribution to journalArticle

@article{c9bb883494ce440c815734231ca7047d,
title = "Ultrasound-guided catheterization of the radial artery: A systematic review and meta-analysis of randomized controlled trials",
abstract = "Background: Ultrasound guidance commonly is used for the placement of central venous catheters (CVCs). The Agency for Healthcare Research and Quality recommends the use of ultrasound for CVC placement as one of its 11 practices to improve patient care. Despite increased access to portable ultrasound machines and comfort with ultrasound-guided CVC access, fewer clinicians are familiar with ultrasound-guided techniques of arterial catheterization. The goal of this systematic review and meta-analysis was to determine the utility of real-time two-dimensional ultrasound guidance for radial artery catheterization. Methods: A comprehensive literature search of Medline, Excerpta Medica Database, and the Cochrane Central Register of Controlled Trials by two independent reviewers identified prospective, randomized controlled trials comparing ultrasound guidance with traditional palpation techniques of radial artery catheterization. Data were extracted on study design, study size, operator and patient characteristics, and the rate of first-attempt success. A meta-analysis was constructed to analyze the data. Results: Four trials with a total of 311 subjects were included in the review, with 152 subjects included in the palpation group and 159 in the ultrasound-guided group. Compared with the palpation method, ultrasound guidance for arterial catheterization was associated with a 71{\%} improvement in the likelihood of first-attempt success(relative risk, 1.71;95{\%} CI, 1.25-2.32). Conclusions: The use of real-time two-dimensional ultrasound guidance for radial artery catheterization improved first-pass success rate.",
author = "Shiloh, {Ariel L.} and Savel, {Richard H.} and Paulin, {Laura M.} and Lewis Eisen",
year = "2011",
month = "3",
day = "1",
doi = "10.1378/chest.10-0919",
language = "English (US)",
volume = "139",
pages = "524--529",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "3",

}

TY - JOUR

T1 - Ultrasound-guided catheterization of the radial artery

T2 - A systematic review and meta-analysis of randomized controlled trials

AU - Shiloh, Ariel L.

AU - Savel, Richard H.

AU - Paulin, Laura M.

AU - Eisen, Lewis

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Background: Ultrasound guidance commonly is used for the placement of central venous catheters (CVCs). The Agency for Healthcare Research and Quality recommends the use of ultrasound for CVC placement as one of its 11 practices to improve patient care. Despite increased access to portable ultrasound machines and comfort with ultrasound-guided CVC access, fewer clinicians are familiar with ultrasound-guided techniques of arterial catheterization. The goal of this systematic review and meta-analysis was to determine the utility of real-time two-dimensional ultrasound guidance for radial artery catheterization. Methods: A comprehensive literature search of Medline, Excerpta Medica Database, and the Cochrane Central Register of Controlled Trials by two independent reviewers identified prospective, randomized controlled trials comparing ultrasound guidance with traditional palpation techniques of radial artery catheterization. Data were extracted on study design, study size, operator and patient characteristics, and the rate of first-attempt success. A meta-analysis was constructed to analyze the data. Results: Four trials with a total of 311 subjects were included in the review, with 152 subjects included in the palpation group and 159 in the ultrasound-guided group. Compared with the palpation method, ultrasound guidance for arterial catheterization was associated with a 71% improvement in the likelihood of first-attempt success(relative risk, 1.71;95% CI, 1.25-2.32). Conclusions: The use of real-time two-dimensional ultrasound guidance for radial artery catheterization improved first-pass success rate.

AB - Background: Ultrasound guidance commonly is used for the placement of central venous catheters (CVCs). The Agency for Healthcare Research and Quality recommends the use of ultrasound for CVC placement as one of its 11 practices to improve patient care. Despite increased access to portable ultrasound machines and comfort with ultrasound-guided CVC access, fewer clinicians are familiar with ultrasound-guided techniques of arterial catheterization. The goal of this systematic review and meta-analysis was to determine the utility of real-time two-dimensional ultrasound guidance for radial artery catheterization. Methods: A comprehensive literature search of Medline, Excerpta Medica Database, and the Cochrane Central Register of Controlled Trials by two independent reviewers identified prospective, randomized controlled trials comparing ultrasound guidance with traditional palpation techniques of radial artery catheterization. Data were extracted on study design, study size, operator and patient characteristics, and the rate of first-attempt success. A meta-analysis was constructed to analyze the data. Results: Four trials with a total of 311 subjects were included in the review, with 152 subjects included in the palpation group and 159 in the ultrasound-guided group. Compared with the palpation method, ultrasound guidance for arterial catheterization was associated with a 71% improvement in the likelihood of first-attempt success(relative risk, 1.71;95% CI, 1.25-2.32). Conclusions: The use of real-time two-dimensional ultrasound guidance for radial artery catheterization improved first-pass success rate.

UR - http://www.scopus.com/inward/record.url?scp=79952222741&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952222741&partnerID=8YFLogxK

U2 - 10.1378/chest.10-0919

DO - 10.1378/chest.10-0919

M3 - Article

C2 - 20724734

AN - SCOPUS:79952222741

VL - 139

SP - 524

EP - 529

JO - Chest

JF - Chest

SN - 0012-3692

IS - 3

ER -