Ultrasound-Guided Radial Artery Puncture by Nurses in Emergency Department : A Randomized Controlled Study

Copyright © 2024 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved..

INTRODUCTION: Radial artery puncture has been performed by palpation as a standard method in many emergency departments and intensive care units. Nurses play an important role in the care of patients in various settings. Ultrasonography can be performed and interpreted not only by physicians but also by nurses. This study aimed to evaluate whether emergency nurses would be more successful in radial artery puncture procedure by using ultrasonography instead of palpation.

METHODS: This single-center, prospective, randomized controlled study was conducted in the emergency department. The patients included in the study were randomized into 2 groups as ultrasonography and palpation groups. Data were recorded on the number of interventions, the duration of the procedure in seconds, total time in seconds, whether the puncture was successfully placed, whether there were complications, the types of complications (hematoma, bleeding, and infection), or whether it was necessary to switch to an alternative technique.

RESULTS: A total of 72 patients, 36 patients in the ultrasonography group and 36 patients in the palpation group, participated in the study. The success rate at the first attempt was statistically significantly higher in the ultrasonography group. Although hematoma formation among the complications occurred in the entire palpation group, it was observed in 72.2% of the ultrasonography group. Puncture time and total time were statistically significantly lower in the ultrasonography group.

DISCUSSION: Our study shows that emergency nurses can use bedside ultrasonography for radial artery puncture successfully.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of emergency nursing - (2024) vom: 26. März

Sprache:

Englisch

Beteiligte Personen:

Güllüpınar, Birdal [VerfasserIn]
Sağlam, Caner [VerfasserIn]
Karagöz, Arif [VerfasserIn]
Koran, Serhat [VerfasserIn]
Ünlüer, Erden Erol [VerfasserIn]

Links:

Volltext

Themen:

Arterial blood gas
Emergency
Emergency nurse
Intervention
Journal Article
Point-of-care ultrasound
Radial artery puncture

Anmerkungen:

Date Revised 26.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jen.2024.01.001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370202589