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Evaluation of radial and ulnar blood flow after radial artery cannulation with 20- and 22-gauge cannulae using duplex Doppler ultrasound

Authors
 S.Y. Kim  ;  J. S. Lee  ;  W. O. Kim  ;  J. M. Sun  ;  M. K. Kwon  ;  H. K. Kil 
Citation
 ANAESTHESIA, Vol.67(10) : 1138-1145, 2012 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2012
MeSH
Adult ; Aged ; Anesthesia, General ; Blood Pressure/physiology ; Catheterization, Peripheral/methods* ; Female ; Follow-Up Studies ; Heart Rate/physiology ; Humans ; Male ; Middle Aged ; Needles ; Radial Artery/diagnostic imaging ; Radial Artery/physiology* ; Regional Blood Flow/physiology ; Sample Size ; Ulnar Artery/diagnostic imaging ; Ulnar Artery/physiology* ; Ultrasonography, Doppler, Duplex ; Wrist/blood supply
Keywords
Adult ; Aged ; Anesthesia, General ; Blood Pressure/physiology ; Catheterization, Peripheral/methods* ; Female ; Follow-Up Studies ; Heart Rate/physiology ; Humans ; Male ; Middle Aged ; Needles ; Radial Artery/diagnostic imaging ; Radial Artery/physiology* ; Regional Blood Flow/physiology ; Sample Size ; Ulnar Artery/diagnostic imaging ; Ulnar Artery/physiology* ; Ultrasonography, Doppler, Duplex ; Wrist/blood supply
Abstract
This study evaluated ulnar and radial artery blood flow after radial artery cannulation during general anaesthesia using Doppler ultrasound. A total of 80 patients were randomly assigned to receive radial artery cannulation with either a 20-G or 22-G cannula. Arterial diameter, peak systolic velocity, end-diastolic velocity, resistance index and mean volume flow were measured at four time points in both arteries: before anaesthesia; 5 min after intubation; immediately after cannulation; and 5 min after cannulation. After radial artery cannulation, ulnar diameters and blood flow were significantly increased, and persisted until 5 min after cannulation. Radial blood flow was decreased immediately after cannulation and recovered to pre-cannulation values 5 min after cannulation. There were no statistical differences between groups at each time point. Radial artery cannulation causes compensatory increase in ulnar artery blood flow, and the difference in cannula size has minimal effect on this change.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2012.07235.x/abstract
DOI
22804619
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kil, Hae Keum(길혜금)
Kim, So Yeon(김소연) ORCID logo https://orcid.org/0000-0001-5352-157X
Kim, Won Oak(김원옥)
Lee, Jeong Soo(이정수) ORCID logo https://orcid.org/0000-0002-8947-3706
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89466
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