Effectiveness of Radial Artery Positioning Board (RAPB) on Radial Artery Access and Prevention of Access Site Complications among Patients Admitted in Critical Care Units at Tertiary Care Hospital, Puducherry

Priyadharshini Balan; Renuka K.; Muthukumaran VK1

1

Publication Date: 2024/05/25

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.

DOI: https://doi.org/10.38124/ijisrt/IJISRT24MAY389

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24MAY389.pdf

REFERENCES

  1. Tiru B, Bloomstone JA, McGee WT. Radial artery cannulation: a review article. J Anesth Clin Res. 2012;3(5):1000209.
  2. 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.
  3. 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
  4. 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.
  5. Mullan BF, Paxton JH. Arterial Catheters 13. Emergent Vascular Access: A Guide for Healthcare Professionals. 2021 Sep 2:301.
  6. 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.
  7. 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.