AUTHOR=Yu Liu , Zhong Heying , Jiang Yan , Zhang Wangping , Liu Zhiwei 

TITLE=Modified Long-Axis In-plane Technique for Radial Artery Cannulation in Children: A Randomized Controlled Trial

JOURNAL=Frontiers in Medicine

VOLUME=8

YEAR=2022

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2021.780375

DOI=10.3389/fmed.2021.780375

ISSN=2296-858X

ABSTRACT=<sec><title>Background</title><p>Radial artery catheterization is a challenge for anesthetists in the pediatric population. The purpose of this study was to determine whether the modified long-axis in-plane (MLAX-IP) technique increased the success rate of radial artery catheterization in children.</p></sec><sec><title>Methods</title><p>This study involved 80 children who required arterial catheterization and were randomly divided into the MLAX-IP group and dynamic needle tip positioning (DNTP) group (40 cases in each group). Radial artery catheterization was performed using either the MLAX-IP technique or the DNTP technique.</p></sec><sec><title>Results</title><p>The first-attempt cannulation success rate was higher in the MLAX-IP group than in the DNTP group (95 vs. 80%, <italic>P</italic> = 0.043). The imaging time of the artery in the MLAX-IP group was longer than in the DNTP group (19.1 ± 3.1 vs. 9.6 ± 2.4 s, <italic>P</italic> &lt; 0.001). While the total catheterization time was similar between the 2 groups (88.1 ± 23 vs. 86.9 ± 46.1 s, <italic>P</italic> = 0.475).</p></sec><sec><title>Conclusion</title><p>The first-attempt cannulation success rate with the MLAX-IP technique is increased, while the total catheterization time is similar between the 2 groups and puncture-related complications are fewer.</p></sec>