Comparison of Procedural Techniques and Variables in Patients Undergoing Arterial Cannulation

Authors : Nazif Yalçın, Aysegul Ertınmaz Ozkan, Nizameddin Koca
Pages : 7-12
Doi:10.56016/dahudermj.1588898
View : 38 | Download : 17
Publication Date : 2025-01-29
Article Type : Research Paper
Abstract :Background: This study presents a comprehensive comparative analysis of two methods for arterial cannulation, palpation, and ultrasound guidance (USG), using a sample of 104 subjects for each method. Methods: The primary objective was to evaluate the safety and efficiency of these techniques. Clinical and laboratory parameters were recorded, including hemoglobin levels, platelet count, International Normalized Ratio (INR), albumin, and total protein levels. The number of attempts and total procedure time were documented for each procedure. Additionally, the ultrasound-guided (USG) method and the duration of each recorded procedure were emphasized to provide a detailed comparison between the two techniques. Results: USG required fewer attempts than palpation (1.63 ± 0.83 vs. 2.36 ± 1.18, p<0.001), resulting in a higher success rate on the first attempt. The total procedure time was significantly shorter in the USG group (7.14 ± 2.42 vs. 11.83 ± 4.45 minutes, p<0.001). This demonstrates the enhanced efficiency of USG. Complication rates were also lower in the USG group (16.3% vs. 31.7%, p=0.009), confirming its safety advantage. Although the two groups showed no significant differences in hemoglobin levels, platelet count, albumin, total protein levels, inotropic agent requirements, or history of peripheral arterial disease (PAD) and congestive heart failure (CHF), INR levels were significantly higher in the USG group (1.23 ± 0.26 vs. 1.14 ± 0.25, p=0.004). Furthermore, patients with higher BMI benefited more from USG, which was particularly advantageous in challenging cases. Conclusion: The current study demonstrates that USG is more efficient, safer, and quicker than palpation, particularly in patients with a higher BMI. These findings suggest that USG is preferable for arterial cannulation in clinical settings, offering reduced complications and enhanced success rates, especially in more challenging patient populations.
Keywords : arteryal kanulasyon, kanulasyon teknikleri

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