Ultrasound beats palpation for femoral artery catheterization

June 13, 2016

(HealthDay)—For children undergoing heart surgery, real-time ultrasound guidance is superior to a palpation technique for femoral artery catheterization, according to a study published online June 1 in Pediatric Anesthesia.

Sahar M. Siddik-Sayyid, M.D., from the American University of Beirut, and colleagues conducted a prospective study involving children undergoing . One hundred six patients were randomized to either a palpation group, where the was cannulated using the traditional landmark method of palpation of arterial pulse, or to an ultrasound group, where cannulation was guided by real-time scanning with an .

The researchers found that the ultrasound group had a shorter time taken for attempted femoral artery cannulation (P = 0.012) and a lower number of attempts (P = 0.003) than the palpation group. The ultrasound group also had a higher number of successful cannulations on first attempt (odds ratio, 2.54; P = 0.025). Fifty-eight percent of patients in the palpation group and 75 percent in the ultrasound group had successful cannulations (odds ratio, 2.18; P = 0.06). At days one and three, none of the had adverse events.

"Ultrasound-guided femoral arterial cannulation in children when performed by anesthesia residents is superior to the palpation technique based on the reduction of the time taken for attempted cannulation and the number of attempts, and improvement in first attempt success," the authors write.

Explore further: Needle guide improves catheterization of subclavian vein

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Needle guide improves catheterization of subclavian vein

September 1, 2015
(HealthDay)—A multi-angle needle guide can improve ultrasound-guided catheterization of the subclavian vein, according to a study published online Aug. 28 in Anaesthesia.

Channel length key in percutaneous thrombin injection

July 20, 2015
(HealthDay)—About 15 percent of patients with post-catheterization femoral pseudoaneurysm who undergo sonographic-guided percutaneous thrombin injection have complications, mainly arterial microembolization, according to ...

Early precut sphincterotomy ups primary cannulation rates

September 29, 2015
(HealthDay)—Early use of precut sphincterotomy does not increase the risk of pancreatitis but does increase rates of primary cannulation during endoscopic retrograde cholangiopancreatography (ERCP), according to research ...

Triple-handed approach eases palpation of ticklish patients

March 11, 2016
(HealthDay)—A novel triple-handed approach allows for examination of lymph-node basins without eliciting a ticklish response, according to a letter to the editor published in the March 10 issue of the New England Journal ...

Study compares outcomes for different methods of drug-releasing stent implantation

November 10, 2015
Myeong-Ki Hong, M.D., Ph.D., of the Yonsei University College of Medicine, Seoul, Korea and colleagues randomly assigned 1,400 patients with long coronary lesions to receive intravascular ultrasound-guided (n = 700) or angiography-guided ...

Recommended for you

'Smart stent' detects narrowing of arteries

June 19, 2018
For every three individuals who have had a stent implanted to keep clogged arteries open and prevent a heart attack, at least one will experience restenosis—the renewed narrowing of the artery due to plaque buildup or scarring—which ...

Marriage may protect against heart disease / stroke and associated risk of death

June 18, 2018
Marriage may protect against the development of heart disease/stroke as well as influencing who is more likely to die of it, suggests a pooled analysis of the available data, published online in the journal Heart.

Deaths from cardiac arrest are misclassified, overestimated

June 18, 2018
Forty percent of deaths attributed to cardiac arrest are not sudden or unexpected, and nearly half of the remainder are not arrhythmic—the only situation in which CPR and defibrillators are effective—according to an analysis ...

Tick-borne meat sensitivity linked to heart disease

June 15, 2018
University of Virginia School of Medicine researchers have linked sensitivity to an allergen in red meat—a sensitivity spread by tick bites—with a buildup of fatty plaque in the arteries of the heart. This buildup may ...

Tobacco aside, e-cigarette flavorings may harm blood vessels

June 14, 2018
Flavor additives used in electronic cigarettes and related tobacco products could impair blood vessel function and may be an early indicator of heart damage, according to new laboratory research in Arteriosclerosis, Thrombosis ...

The molecules that energize babies' hearts

June 14, 2018
A metabolic process that provides heart muscle with energy fails to mature in newborns with thickened heart walls, according to a Japan–Canada research team.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.