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Arterial catheter placement & Care: Difference between revisions

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[https://pubs.asahq.org/anesthesiology/article/138/5/497/137768/Comparison-of-Single-operator-Laser-assisted Comparison of Single-operator Laser-assisted Ultrasound-guided Radial Arterial Cannulation in Young Children with Traditional Ultrasound Guidance: A Randomized Clinical Trial]
[https://pubs.asahq.org/anesthesiology/article/138/5/497/137768/Comparison-of-Single-operator-Laser-assisted Comparison of Single-operator Laser-assisted Ultrasound-guided Radial Arterial Cannulation in Young Children with Traditional Ultrasound Guidance: A Randomized Clinical Trial]


Weiss M, Balmer C, Cornelius A, Frey B, Bauersfeld U, Baenziger O. Arterial fast bolus flush systems used routinely in neonates and infants cause retrograde embolization of flush solution into the central arterial and cerebral circulation. Canadian journal of anaesthesia = Journal canadien d'anesthesie. Apr 2003;50(4):386-91. doi:10.1007/bf03021037
[https://pubmed.ncbi.nlm.nih.gov/12670817/  Arterial fast bolus flush systems used routinely in neonates and infants cause retrograde embolization of flush solution into the central arterial and cerebral circulation]


Lowenstein E, Little JW, 3rd, Lo HH. Prevention of cerebral embolization from flushing radial-artery cannulas. The New England journal of medicine. Dec 16 1971;285(25):1414-5. doi:10.1056/nejm197112162852506
[https://pubmed.ncbi.nlm.nih.gov/5121208/  Prevention of cerebral embolization from flushing radial-artery cannulas]


Bull MJ, Schreiner RL, Garg BP, Hutton NM, Lemons JA, Gresham EL. Neurologic complications following temporal artery catheterization. The Journal of pediatrics. Jun 1980;96(6):1071-3. doi:10.1016/s0022-3476(80)80646-9
[https://pubmed.ncbi.nlm.nih.gov/7373472/  Neurologic complications following temporal artery catheterization]


[https://resources.wfsahq.org/atotw/management-of-accidental-intra-arterial-injections/ WFSA: ATOTW 498: Management of Accidental Intra-Arterial Injections]
[https://resources.wfsahq.org/atotw/management-of-accidental-intra-arterial-injections/ WFSA: ATOTW 498: Management of Accidental Intra-Arterial Injections]

Revision as of 14:17, 25 September 2025

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Relevant Article Depot:


Evaluation of the factors related to difficult ultrasound-guided radial artery catheterization in small children: A prospective observational study

Cochrane Database of Systematic Reviews: Ultrasound‐guided arterial cannulation for paediatrics

Cochrane Database of Systematic Reviews: Heparin versus normal saline for patency of arterial lines

Tweet by Adrian Wong @avkwong Anyone use this technique regularly?

Tweet by Mark Ramzy, DO, EMT-P @MRamzyDO KNOW YOUR A-LINE!

Arterial Pressure Monitoring

"Arterial Line Placement" by James DiNardo, MD, FAAP for OPENPediatrics

The ulnar artery: a site suitable for arterial cannulation in pediatric patients. Pediatric ulnar and radial artery sizes

Modified Long-Axis In-Plane Ultrasound-guided Radial Artery Cannulation In Adult Patients: A Randomized Controlled Trial

Evaluation of distal radial artery cross-sectional internal diameter in neonates and infants by ultrasound and adequate selection of an intra-arterial catheter size

Can the ulnar artery serve as an alternative option for arterial cannulation in neonates?

Intraarterial Papaverine For Relief of Catheter Induced Peripheral Arterial Vasospasm During Pediatric Cardiac Surgery: A Randomized Double-Blind Controlled Trial

TYK29

Invasive arterial pressure monitoring: much more than mean arterial pressure!

Major Short-term Complications of Arterial Cannulation for Monitoring in Children

Baby-Blocks: Arterial Access at the Wrist

Alternative arterial catheterization site using the ulnar artery in critically ill pediatric patients

Intravenous access and blood pressure monitoring in patients with previous axillary nodal dissection

BabyBlocks: Arterial Access at the Wrist: Ultrasound vs. Palpation

Comparison of Single-operator Laser-assisted Ultrasound-guided Radial Arterial Cannulation in Young Children with Traditional Ultrasound Guidance: A Randomized Clinical Trial

Arterial fast bolus flush systems used routinely in neonates and infants cause retrograde embolization of flush solution into the central arterial and cerebral circulation

Prevention of cerebral embolization from flushing radial-artery cannulas

Neurologic complications following temporal artery catheterization

WFSA: ATOTW 498: Management of Accidental Intra-Arterial Injections

Gleich SJ, Wong AV, Handlogten KS, Thum DE, Nemergut ME. Major Short-term Complications of Arterial Cannulation for Monitoring in Children. Anesthesiology 2021;134(1):26-34. (In eng). DOI: 10.1097/aln.0000000000003594.

Zaleski KL, Kuntz MT, Staffa SJ, Van Pelt H, Hamilton ARL, Atkinson DB. Central Arterial Line Placement for Pediatric Cardiac Surgery: A Single-Center Experience. Anesthesia and analgesia 2024 (In eng). DOI: 10.1213/ane.0000000000006972.

Comparison of radial, dorsalis pedis, and posterior tibial arteries for ultrasound-guided arterial catheterisation with dynamic needle tip positioning in paediatric patients: a randomised controlled trial

Roux J, Kohn MA, Sinskey J, Nguyen H, Boor M, Rouine-Rapp K. The ulnar artery: a site suitable for arterial cannulation in pediatric patients. Paediatr Anaesth. 2021 Dec; 31(12): 1357-1363. PMID: 34644423

Takeshita J, Tachibana K, Nakayama Y, et al. Ultrasound-guided dynamic needle tip positioning versus conventional palpation approach for catheterisation of posterior tibial or dorsalis pedis artery in infants and small children. Br J Anaesth. 2021 Apr; 126(4): e140-e142. PMID: 33358049

Gleich SJ, Wong AV, Handlogten KS, Thum DE, Nemergut ME. Major short-term complications of arterial cannulation for monitoring in children. Anesthesiology. 2021 Jan; 134(1): 26-34. PMID: 33079134

The use of invasive arterial blood pressure monitoring in routine anaesthesia practice: an analysis from the NAP7 project

Acid-Base Interpretation: A Practical Approach


Central Artery Access

Zaleski KL, Kuntz MT, Staffa SJ, Van Pelt H, Hamilton ARL, Atkinson DB. Central Arterial Line Placement for Pediatric Cardiac Surgery: A Single-Center Experience. Anesthesia and analgesia 2024 (In eng). DOI: 10.1213/ane.0000000000006972.

Simmons MA, Levine RL, Lubchenco LO, Guggenheim MA. Warning: serious sequelae of temporal artery catheterization. The Journal of pediatrics 1978;92(2):284. (In eng). DOI: 10.1016/s0022-3476(78)80027-4.

Lowenstein E, Little JW, 3rd, Lo HH. Prevention of cerebral embolization from flushing radial-artery cannulas. The New England journal of medicine 1971;285(25):1414-5. (In eng). DOI: 10.1056/nejm197112162852506.

Gleich SJ, Wong AV, Handlogten KS, Thum DE, Nemergut ME. Major Short-term Complications of Arterial Cannulation for Monitoring in Children. Anesthesiology 2021;134(1):26-34. (In eng). DOI: 10.1097/aln.0000000000003594.

Lawless S, Orr R. Axillary arterial monitoring of pediatric patients. Pediatrics 1989;84(2):273-5. (In eng).

Piotrowski A, Kawczynski P. Cannulation of the axillary artery in critically ill newborn infants. European journal of pediatrics 1995;154(1):57-9. (In eng). DOI: 10.1007/bf01972974.

Seto AH, Estep JD, Tayal R, et al. SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access and Training. J Soc Cardiovasc Angiogr Interv 2022;1(3):100041. (In eng). DOI: 10.1016/j.jscai.2022.100041.


Allen’s Test

Allen EV. Thromboangiitis Obliterans: Methods of Diagnosis of Chronic Occlusive Arterial Lesions Distal to the Wrist With Illustrative Cases. Am J Med Sci. 1929; 178(2): 237-243

Greenhow DE. Incorrect performance of Allen’s Test-Ulnar Artery Flow Erroneously Presumed Inadequate. Anesthesiology 1972; 37(3): 356-357

Bedford RF, Wollman H. Complications of Percutaneous Radial-artery Cannulation: An Objective Prospective Study in Man. Anesthesiology 1973; 38(3): 228-236

TM, Pippin WD, Talmage LA, Reilley TE. Evaluation of collateral circulation of the hand. J Clin Monit 1992; 8: 28-32

Abnormal radial artery in Down's syndrome

Comparison of radial, dorsalis pedis, and posterior tibial arteries for ultrasound-guided arterial catheterisation with dynamic needle tip positioning in paediatric patients: a randomised controlled trial. Takeshita J, et.al. Br J Anaesth 2023:131:739-744.

Vascular Catheterization is Difficult in Infants with Down Syndrome Sulemanji DS. Acta Anaesthesiol Scand, 2009:53:98-100