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

Publisher: Mosby-Year Book Country of Publication: United States NLM ID: 7605913 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-2966 (Electronic) Linking ISSN: 00991767 NLM ISO Abbreviation: J Emerg Nurs Subsets: MEDLINE

Publication: St. Louis Mo : Mosby-Year Book
Original Publication: East Lansing, Mich. : The Association, [1975-

Radial Artery*/diagnostic imaging ; Emergency Service, Hospital* ; Emergency Nursing*/methods ; Ultrasonography, Interventional*/methods; Humans ; Female ; Male ; Prospective Studies ; Middle Aged ; Adult ; Palpation/nursing ; Palpation/methods ; Aged ; Punctures/methods ; Catheterization, Peripheral/methods ; Catheterization, Peripheral/nursing

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

Keywords: Arterial blood gas; Emergency; Emergency nurse; Intervention; Point-of-care ultrasound; Radial artery puncture

Date Created: 20240326 Date Completed: 20240505 Latest Revision: 20240520

20240521

10.1016/j.jen.2024.01.001

38530698