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Complications and related risk factors of transradial access cannulation for hemodynamic monitoring in general surgery: a prospective observational study.
Hou, Qin; Zhou, Bin; He, Juanjuan; Chen, Xueying; Zuo, Yunxia.
Afiliación
  • Hou Q; Department of Anesthesiology, West China Hospital of Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, 610041, P.R. China.
  • Zhou B; Department of Anesthesiology, West China Hospital of Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, 610041, P.R. China.
  • He J; Department of Anesthesiology, West China Hospital of Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, 610041, P.R. China.
  • Chen X; Department of Anesthesiology, Jiangsu Integrated Traditional Chinese and Western Medicine Hospital, Nanjing, Jiangsu Province, 210028, P.R. China.
  • Zuo Y; Department of Anesthesiology, Chengdu Shang Jin Nan Fu Hospital, Chengdu, Sichuan Province, 611730, P.R. China.
BMC Anesthesiol ; 23(1): 228, 2023 06 30.
Article en En | MEDLINE | ID: mdl-37391714
PURPOSE: To examine the short-term complications of arterial cannulation for intraoperative monitoring and their related risk factors. METHODS: We included adult inpatients (≥ 18 years old) who underwent an initial transradial access (TRA) cannulation and were scheduled for general surgery between April 8 and November 30, 2020. We used 20G arterial puncture needles for puncturing and manual compression for hemostasis. Demographic, clinical, surgical, anesthetic, and laboratory data were extracted from electronic medical records. Vascular, neurologic, and infectious complications of TRA cannulation were recorded and analyzed. Logistic regression analyses were used to identify risk factors related to TRA cannulation for intraoperative monitoring. RESULTS: Among 509 included patients, 174 developed TRA cannulation-related complications. Puncture site bleeding/hematoma and median nerve injury were observed in 158 (31.0%) and 16 (3.1%) patients, respectively. No patient developed cannula-related infections. Logistic regression analysis revealed increased odds of puncture site bleeding/hematoma in women (odds ratio 4.49, 95% CI 2.73-7.36; P < 0.001) and patients who received intraoperative red blood cell (RBC) suspension transfusion ≥ 4U (odds ratio 5.26, 95% CI 1.41-19.57; P = 0.01). No risk factors for nerve injury were identified. CONCLUSION: Bleeding/hematoma were a common complication of TRA cannulation for intraoperative hemodynamic monitoring during general surgery. Median nerve injury may be an under recognized complication. Female sex and extensive intraoperative RBC transfusion are associated with an increased risk of bleeding/hematoma; however, the risk factors for nerve injury remain unclear. TRIAL REGISTRATION: The study protocol was registered at https://www.chictr.org.cn (ChiCTR1900025140).
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Monitorización Hemodinámica Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans Idioma: En Revista: BMC Anesthesiol Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Monitorización Hemodinámica Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans Idioma: En Revista: BMC Anesthesiol Año: 2023 Tipo del documento: Article