Anestezi indüksiyonu ve anestezi ilişkili değişimlerin radiyal arter kanülasyon başarısına etkisi

Year 2021, Volume: 46 Issue: 4, 1523 - 1531, 30.12.2021

Ayşegül Turgay , Onat Bermede , Volkan Baytaş Asuman Hanife Uysalel

Abstract

Amaç: Bu çalışmada, anestezi indüksiyonu öncesi ve sonrası yapılan radiyal arter kanülasyonları işlem süreleri, girişim sayısı ve ilk girişimde başarılı olma yüzdeleri açısından karşılaştırılmıştır. İkincil olarak, anestezi ile ilişkili değişkenlerin başarıya etkileri ortaya konulmuştur.
Gereç ve Yöntem: Bu çalışmaya toplam 73 hasta dahil edilmiş olup, tüm kanülasyonlar geleneksel palpasyon yöntemi ile gerçekleştirilmiştir. Arter boyut ve derinlik ölçümleri için ultrasonografi kullanılmıştır. Kanülasyon süreleri, girişim sayıları ve ilk girişimde başarılı olma yüzdeleri kaydedilmiştir.
Bulgular: Çalışmada toplam 91 radiyal arter kanülasyonu yapılmıştır. Sırasıyla anestezi indüksiyonu öncesi ve anestezi indüksiyonu sonrası kanülasyonlarda median kanülasyon süreleri 30s (min-max:17-378) ve 37s (min-max:10-217); ilk girişimde başarılı olma yüzdeleri %87,5 ve %87,8 olarak bulunmuştur. Lokal anestezik infiltrasyonunun RA derinliğini anlamlı düzeyde arttırdığı; fakat sırasıyla RA boy ve enini etkilemediği görülmüştür. Beden kitle indeksi(BMI) ve aterosklerotik kalp hastalığı ve/veya periferik damar hastalığı varlığı (ASHD ve/veya PVD) kanülasyon süresinin bağımsız belirleyicileri olarak bulunmuştur..
Sonuç: RA kanülasyonu başarısı anestezi indüksiyonundan etkilenmemektedir.

Keywords

Radiyal arter, kanülasyon, anestezi indüksiyonu, genel anestezi, lokal infiltrasyon.

Influence of anaesthesia induction and associated disparities on radial artery cannulation success

Abstract

Purpose: This study aimed to compare the procedure durations, the number of attempts and first attempt success rates in radial artery(RA) cannulations performed before and after anaesthesia induction. Secondarily, anaesthesia-related determinants of success were to be identified.
Materials and Methods: This study included 73 adult patients. All cannulations were with traditional palpation technique. Ultrasonography was used for arterial diameter/depth measurements. Cannulation time(s), number of attempts and first attempt success/failure were recorded.
Results: A total of 91 cannulations was performed. Median cannulation times were 30s (min-max:17-378) and 37s (min-max:10-217); first attempt success rates were %87.5 and %87.8 in preinduction and postinduction groups, respectively.. Local anaesthetic infiltration increased RA depth but did not affect RA height and width. Body mass index(BMI) and presence of atherosclerotic heart disease(ASHD) and/or peripheral vascular disease(PVD) were found as independent predictors of cannulation time.
Conclusion: RA cannulation success was unaffected by anaesthesia induction.

Keywords

Radial artery, cannulation, anaesthesia induction, general anaesthesia, local infiltration

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