Comparison between ultrasound guided technique and digital palpation technique for radial artery cannulation in adult patients: An updated meta-analysis of randomized controlled trials
Abstract
Study objective Possible advantages and risks associated with ultrasound guided radial artery cannulation in-comparison to digital palpation guided method in adult patients are not fully known. We have compared ultrasound guided radial artery cannulation with digital palpation technique in this meta-analysis.Design Meta-analysis of randomized controlled trials.Setting Trials conducted in operating room, emergency department, cardiac catheterization laboratory.Patients PubMed and Cochrane Central Register of Controlled Trials (CENTRAL) were searched (from 1946 to 20th November 2017) to identify prospective randomized controlled trials in adult patients.Intervention Two-dimensional ultrasound guided radial artery catheterization versus digital palpation guided radial artery cannulation.Measurements Overall cannulation success rate, first attempt success rate, time to cannulation and mean number of attempts to successful cannulation. Odds ratio (OR) and standardized mean difference (SMD) or mean difference (MD) with 95% confidence interval (CI) were calculated for categorical and continuous variables respectively.Results Data of 1895 patients from 10 studies have been included in this meta- analysis. Overall cannulation success rate was similar between ultrasound guided technique and digital palpation [OR (95% CI) 2.01 (1.00, 4.06); p = 0.05]. Ultrasound guided radial artery cannulation is associated with higher first attempt success rate of radial artery cannulation in comparison to digital palpation [OR (95% CI) 2.76 (186, 4.10); p < 0.001]. No difference was seen in time to cannulate [SMD (95% CI) -0.31 (-0.65, 0.04); p = 0.30] and mean number of attempt [MD (95% CI) -0.65 (-1.32, 0.02); p = 0.06] between USG guided technique with palpation technique.Conclusion Radial artery cannulation by ultrasound guidance may increase the first attempt success rate but not the overall cannulation success when compared to digital palpation technique. However, results of this meta-analysis should be interpreted with caution due presence of heterogeneity.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Ultrasound guidance may increase first attempt success rate and decrease complication rate.
“Ultrasound guidance may increase the first attempt success rate and decrease the complication rate [382, 383].”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [382]
Cites
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164 · see citing works
Estimating the mean and variance from the median, range, and the size of a sample
Hozo, S. P., Djulbegovic, B., & Hozo, I. (2005) · BMC Medical Research Methodology · doi:10.1186/1471-2288-5-13 · Cited by 9,062 · see citing works
Jolly, S. S., Yusuf, S., Cairns, J. A., Niemelä, K. O., Xavier, D., Widimský, P., Budaj, A., Niemelä, M. J., Valentín, V., Lewis, B. S., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60404-2 · Cited by 2,127 · see citing works
Scheer, B., Perel, A., & Pfeiffer, U. J. (2002) · Critical Care · doi:10.1186/cc1489 · Cited by 855 · see citing works
Radial Artery Cannulation: A Comprehensive Review of Recent Anatomic and Physiologic Investigations
Brzezinski, M., Luisetti, T., & London, M. J. (2009) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e3181bbd416 · Cited by 354 · see citing works
Real-Time Ultrasound Guidance Facilitates Transradial Access
Seto, A. H., Roberts, J. S., Abu-Fadel, M. S., Czak, S., Latif, F., Jain, S. P., Raza, J. A., Mangla, A., Panagopoulos, G., Patel, P. M., et al. (2015) · JACC: Cardiovascular Interventions · doi:10.1016/j.jcin.2014.05.036 · Cited by 236 · see citing works
A Prospective Comparison of Ultrasound-guided and Blindly Placed Radial Arterial Catheters
Shiver, S. A., Blaivas, M., & Lyon, M. L. (2006) · Academic Emergency Medicine · doi:10.1197/j.aem.2006.07.015 · Cited by 183 · see citing works
Use of ultrasound guidance in the insertion of radial artery catheters
Levin, P. D., Sheinin, O., & Gozal, Y. (2003) · Critical Care Medicine · doi:10.1097/01.ccm.0000050452.17304.2f · Cited by 167 · see citing works
Ultrasound Guidance Facilitates Radial Artery Catheterization
Gu, W.-J., Wu, X.-D., Wang, F., Ma, Z.-L., & Gu, X.-P. (2016) · Chest · doi:10.1378/chest.15-1784 · Cited by 109 · see citing works
Clemmesen, L., Knudsen, L., Sloth, E., & Bendtsen, T. F. (2012) · Ultraschall in der Medizin - European Journal of Ultrasound · doi:10.1055/s-0032-1312824 · Cited by 93 · see citing works
Tang, L., Wang, F., Li, Y., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0111527 · Cited by 93 · see citing works
Hansen, M. A., Juhl‐Olsen, P., Thorn, S., Frederiksen, C. A., & Sloth, E. (2014) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.12299 · Cited by 85 · see citing works
Kiberenge, R. K., Ueda, K., & Rosauer, B. (2017) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000002261 · Cited by 84 · see citing works
Peters, C., Schwarz, S. K. W., Yarnold, C. H., Kojic, K., Kojic, S. L., & Head, S. J. (2015) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-015-0426-8 · Cited by 55 · see citing works
Ultrasound guidance for radial arterial puncture: a randomized controlled trial
Bobbia, X., Grandpierre, R. G., Claret, P., Moreau, A., Pommet, S., Bonnec, J.-M., Bayard, R. P., Lefrant, J., Müller, L., & Coussaye, J.-E. D. L. (2013) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2013.01.029 · Cited by 55 · see citing works
Ueda, K., Bayman, E. O., Johnson, C., Odum, N. J., & Lee, J. J. (2015) · Anaesthesia · doi:10.1111/anae.13062 · Cited by 49 · see citing works
Zaremski, L., Quesada, R., Kovacs, M. E., et al. (2013) · PubMed · Cited by 32 · see citing works
Gopalasingam, N., Hansen, M. A., Thorn, S., Sloth, E., & Juhl‐Olsen, P. (2017) · The Journal of Vascular Access · doi:10.5301/jva.5000702 · Cited by 32 · see citing works
Laursen, C. B., Pedersen, R. L., & Lassen, A. T. (2015) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2015.01.016 · Cited by 24 · see citing works
Tangwiwat, S., Pankla, W., Rushatamukayanunt, P., et al. (2016) · PubMed · Cited by 19 · see citing works
Tada, T., Amagasa, S., & Horikawa, H. (2003) · Journal of Anesthesia · doi:10.1007/s005400300016 · Cited by 13 · see citing works
Horikawa, H., Tada, T., & Amagasa, S. (2003) · Journal of Anesthesia · doi:10.1007/s00540-003-0172-x · Cited by 13 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005337 · Cited by 2,935 · see citing works
Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Intensive Care Medicine · doi:10.1007/s00134-021-06506-y · Cited by 5,082 · see citing works
Kim, S. Y., Kim, K. N., Jeong, M. A., Lee, B. S., & Lim, H. J. (2021) · PLOS ONE · doi:10.1371/journal.pone.0251712 · Cited by 26 · see citing works
- Authors
- Bhattacharjee, S., Maitra, S., & Baidya, D. K.
- Affiliations
- All India Institute of Medical Sciences (IN)
- Corresponding author
- Maitra, Souvik
- Venue
- Journal of Clinical Anesthesia
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 47
- Pages
- 54-59
- ISSN
- 0952-8180 (ISSN-L)
- OpenAlex
- W2793098843
- Cited by
- 91
- References
- 22
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 9 · 2023: 13 · 2022: 11 · 2021: 16 · 2020: 14 · 2019: 7 · 2018: 2
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Anesthesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
- Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Keywords
- radial artery cannulation, ultrasound-guided cannulation, digital palpation, first-attempt success rate, cannulation success rate, cannulation time, vascular access
- MeSH terms
- Adult, Catheterization, Peripheral, Humans, Palpation, Randomized Controlled Trials as Topic, Treatment Outcome, Radial Artery, Ultrasonography, Interventional
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
