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 language | English (US) |
|---|---|
| Pages (from-to) | 524-529 |
| Number of pages | 6 |
| Journal | Chest |
| Volume | 139 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2011 |
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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 journal › Article
}
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 -