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Ulnar artery versus radial artery approach for arterial cannulation: a prospective, comparative study.

Abstract：

STUDY OBJECTIVE:To compare the ease of cannulation, success/failure rate, and complication rate between ulnar and radial arteries. DESIGN:Randomized, controlled study. SETTING:Operating room. PATIENTS:100 ASA physical status I, II, and III patients undergoing general anesthesia and requiring arterial cannulation. INTERVENTIONS:Patients were divided randomly into two separate groups of 50 patients each according to cannulation site: ulnar artery (group U) or radial artery (group R) group. MEASUREMENTS:The presence and fullness of the arterial pulses (strong/weak/absent), ease of cannulation (cases in which cannulation was successful on the first attempt and those that which required more than one cannulation attempt), success rate of cannulation, and complications (early/late) were all recorded. MAIN RESULTS:The radial artery was stronger in pulse (83% vs 73%). The success rates of cannulations for the ulnar and radial arteries were 82% and 90%, respectively (P > 0.05). The overall success rate of cannulation in the ulnar group with a strong pulse was 100%. There were significant differences in the success rate of cannulation between the patients with strong and weak pulses in the ulnar group (P < 0.0001). Ease of cannulation and complication rates of cannulations were not statistically different in both groups. CONCLUSIONS:The success rate of an arterial cannulation in a patient with a strong ulnar pulse is the same as for radial artery cannulation.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Karacalar S,Ture H,Baris S,Karakaya D,Sarihasan B

doi

10.1016/j.jclinane.2006.10.012

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

209-13

issue

3

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(07)00039-6

journal_volume

19

pub_type

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