Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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An Interventional Study to Compare the Efficacy and Safety of Radial Artery Cannulation with Focused Acoustic Shadowing Facilitated Ultrasound Guided Technique and Unaided Ultrasound Guided Technique in Hypotensive Patients in ICU
Vishal Baradwad, Shivanand , R.M. Akshay and Sainath
Page: 45-50 | Received 25 Jun 2024, Published online: 20 Jul 2024
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Abstract
Arterial lines may be required in critically ill patients in a variety of settings including the Emergency department, Peri‐operative setting and ICU. These patients may require close monitoring of blood pressure with vasoactive medication, intravenous fluid administration, intravenous antihypertensive regimens among other reasons. Our study aim was to compare the efficacy of radial arterial cannulation using focused USG guided acoustic shadowing technique with that of traditional ultrasound guided technique in hypotensive patients in ICU. The study was conducted as a randomized interventional study in the department of anesthesiology and critical care Dr. S.N. Medical college, Jodhpur after obtaining institutional ethics committee approval (Ref. No. SNMC/IEC/2020/plan/309) and written informed consent from study subject’s relatives. Sample size was calculated to be a minimum of 40 subjects in each group. First attempt success rates was significantly higher in Focused ultrasound group (88.9%) compared to traditional ultrasound group (66.7%) and the difference was statistically significant (p value 0.01). USG localization time was significantly shorter in focused ultrasound group (25.91±2.90s) compared to traditional ultrasound group (43.51±3.09s) and the difference between the two groups was statistically significant. (p<0.05). Puncture time was significantly shorter in focused ultrasound group(43.81±2.45s) compared to traditional ultrasound group (57.42±2.11s) and the difference between the two groups was statistically significant. (p<0.05). Total cannulation time compared to traditional ultrasound group (100.14±4.16s)and the difference between the two groups was statistically significant. (p< 0.05). Incidence of bleeding in TU group was 10 out 45 patients and in FU group 4 out 45 patients which is lower in FU group when compared with TU group and P‐value being 0.14 which is statistically insignificant. Incidence of hematoma in TU group was 4 out 45 patients and in FU group 2 out of 45 patients which is lower in FU group when compared with TU group with P‐value being 0.67 which is non‐significant. The focused acoustic USG guided technique of radial artery cannulation not only helps shorten the ultrasound location and puncture time, but also improves the success rate of radial artery puncture at the first attempt in hypotensive patients and thereby facilitates radial artery cannulation in hypotensive patients admitted in ICU.
How to cite this article:
Vishal Baradwad, Shivanand , R.M. Akshay and Sainath . An Interventional Study to Compare the Efficacy and Safety of Radial Artery Cannulation with Focused Acoustic Shadowing Facilitated Ultrasound Guided Technique and Unaided Ultrasound Guided Technique in Hypotensive Patients in ICU.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.45.50
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.45.50