Arterial catheter placement & Care
This is a Stub Notice. This page has not been completed. You can work on this page by signing in and going to the Edit tab. Thanks for helping to make PedsAnesthesia.Net Wiki useful.
Go to the Main Page to see the Topic Outline.
Go to the Generalized Suggested Outline for information on case-specific details for each page.
Go to the Test Page for examples on how to use references in the page.
Relevant Article Depot:
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 Line Placement" by James DiNardo, MD, FAAP for OPENPediatrics
Can the ulnar artery serve as an alternative option for arterial cannulation in neonates?
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
Intravenous access and blood pressure monitoring in patients with previous axillary nodal dissection
BabyBlocks: Arterial Access at the Wrist: Ultrasound vs. Palpation
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
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
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
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.
2. 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.
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
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