Authors :
Priyadharshini Balan; Renuka K.; Muthukumaran VK
Volume/Issue :
Volume 9 - 2024, Issue 5 - May
Google Scholar :
https://tinyurl.com/yck77e2k
Scribd :
https://tinyurl.com/4e2rdhn6
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24MAY389
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Radial artery access is a fundamental procedure in
critical care settings, yet achieving optimal wrist
extension poses challenges. This study investigates the
efficacy of a novel intervention, the radial artery
positioning board (RAPB), in enhancing radial artery
access success rates and preventing access site
complications among critically ill patients.
Methods:
Employing a randomized controlled trial with a
two-group post-tests only control design, 160 patients
were enrolled using a block random sampling method.
The study, conducted at a tertiary care hospital in
Puducherry, utilized both descriptive and inferential
statistical analyses to assess the outcomes.
Results:
Analysis revealed a significant improvement in the
success rates of radial artery access (z = -11.125, p <
0.05) and a notable reduction in access site
complications (z = 7.938, p < 0.05) in the RAPB group
compared to the control group. Furthermore, a positive
correlation was established between successful radial
artery access using RAPB and the prevention of access
site complications (r = 0.504, p < 0.05).
Conclusion:
The findings underscore the effectiveness of RAPB
in facilitating early radial artery access with heightened
success rates and diminished access site complications
among critically ill patients. Additionally, body mass
index and comorbidities exhibited statistically
significant associations with radial artery access (p <
0.05), emphasizing the need for tailored interventions in
this population.
Keywords :
Radial Artery Access, Access Site Complications, Critical Care, Procedural Success, Intervention Efficacy.
References :
- Tiru B, Bloomstone JA, McGee WT. Radial artery cannulation: a review article. J Anesth Clin Res. 2012;3(5):1000209.
- Goldberg SL, Renslo R, Sinow R, French WJ. Learning curve in the use of the radial artery as vascular access in the performance of percutaneous transluminal coronary angioplasty. Catheterization and cardiovascular diagnosis. 1998 Jun;44(2):147-52.
- Kent KC, McArdle CR, Kennedy B, Baim DS, Anninos E, Skillman JJ. A prospective study of the clinical outcome of femoral pseudoaneurysma and arteriovenous fistuals induced by arterial puncture. Journal of vascular surgery. 1993 Jan 1;17(1):125-33
- Yokoyama N, Takeshita S, Ochiai M, Koyama Y, Hoshino S, Isshiki T, Sato T. Anatomic variations of the radial artery in patients undergoing transradial coronary intervention. Catheterization and Cardiovascular Interventions. 2000 Apr;49(4):357-62.
- Mullan BF, Paxton JH. Arterial Catheters 13. Emergent Vascular Access: A Guide for Healthcare Professionals. 2021 Sep 2:301.
- Mizukoshi K, Shibasaki M, Amaya F, Hirayama T, Shimizu F, Hosokawa K, Hashimoto S, Tanaka Y. Ultrasound evidence of the optimal wrist position for radial artery cannulation. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2009 Jun;56(6):427-31.
- Melhuish TM, White LD. Optimal wrist positioning for radial arterial cannulation in adults: a systematic review and meta-analysis. The American Journal of Emergency Medicine. 2016 Dec 1;34(12):2372-8.
Background:
Radial artery access is a fundamental procedure in
critical care settings, yet achieving optimal wrist
extension poses challenges. This study investigates the
efficacy of a novel intervention, the radial artery
positioning board (RAPB), in enhancing radial artery
access success rates and preventing access site
complications among critically ill patients.
Methods:
Employing a randomized controlled trial with a
two-group post-tests only control design, 160 patients
were enrolled using a block random sampling method.
The study, conducted at a tertiary care hospital in
Puducherry, utilized both descriptive and inferential
statistical analyses to assess the outcomes.
Results:
Analysis revealed a significant improvement in the
success rates of radial artery access (z = -11.125, p <
0.05) and a notable reduction in access site
complications (z = 7.938, p < 0.05) in the RAPB group
compared to the control group. Furthermore, a positive
correlation was established between successful radial
artery access using RAPB and the prevention of access
site complications (r = 0.504, p < 0.05).
Conclusion:
The findings underscore the effectiveness of RAPB
in facilitating early radial artery access with heightened
success rates and diminished access site complications
among critically ill patients. Additionally, body mass
index and comorbidities exhibited statistically
significant associations with radial artery access (p <
0.05), emphasizing the need for tailored interventions in
this population.
Keywords :
Radial Artery Access, Access Site Complications, Critical Care, Procedural Success, Intervention Efficacy.