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Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients

Received: 14 December 2020    Accepted: 22 December 2020    Published: 31 December 2020
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Abstract

Background: Catheter failure means that the arterial catheter loses its original real-time and accurate function of monitoring the blood pressure due to various causes, such as blockage, buckling, displacement of the catheter, edema, bleeding, and oozing of the punctured limb requiring catheter removal. However, there have been few studies about the catheter failure and its related influencing factors. The present study aims to explore the status and influencing factors of failed ultrasound-guided invasive arterial catheterization in ICU patients. Methods: 264 patients who underwent ultrasound-guided invasive arterial catheterization from January 2019 to December 2019 were analyzed retrospectively to observe the status and failure of the arterial catheterization. Statistical analysis was performed using SPSS22.0 software. Results: Among the 264 cases with invasive arterial catheterization, 59 cases had catheter failure, the incidence was 22.34%. Single factor analysis showed that the use of analgesics, the protective catheter sleeve, and the affected limb restraints could prevent catheter failure significantly (P<0.05). The result of multivariate logistic regression analysis showed that the affected limb restraints, and the use of analgesics were protective factors against the failure of invasive arterial catheterization (P<0.05), with OR values of 0.454 and 0.450, respectively. Conclusion: Under ultrasound guidance, the incidence of catheter failure after invasive arterial catheterization is low. For the ICU patients undergoing invasive arterial catheterization, analgesics should be used, affected limbs should be constrained, and health education, and communication should be conducted to further reduce the incidence of catheter failure.

Published in Clinical Medicine Research (Volume 9, Issue 6)
DOI 10.11648/j.cmr.20200906.14
Page(s) 140-144
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intensive Care Unit, Ultrasound Guidance, Invasive Arterial Catheterization, Catheter Failure, Influencing Factors

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Cite This Article
  • APA Style

    Mei Feng, Ni Zhang, Miaohang Shan, Yanbin Pan, Wanxian Lu, et al. (2020). Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients. Clinical Medicine Research, 9(6), 140-144. https://doi.org/10.11648/j.cmr.20200906.14

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    ACS Style

    Mei Feng; Ni Zhang; Miaohang Shan; Yanbin Pan; Wanxian Lu, et al. Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients. Clin. Med. Res. 2020, 9(6), 140-144. doi: 10.11648/j.cmr.20200906.14

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    AMA Style

    Mei Feng, Ni Zhang, Miaohang Shan, Yanbin Pan, Wanxian Lu, et al. Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients. Clin Med Res. 2020;9(6):140-144. doi: 10.11648/j.cmr.20200906.14

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  • @article{10.11648/j.cmr.20200906.14,
      author = {Mei Feng and Ni Zhang and Miaohang Shan and Yanbin Pan and Wanxian Lu and Qingran Lin},
      title = {Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients},
      journal = {Clinical Medicine Research},
      volume = {9},
      number = {6},
      pages = {140-144},
      doi = {10.11648/j.cmr.20200906.14},
      url = {https://doi.org/10.11648/j.cmr.20200906.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20200906.14},
      abstract = {Background: Catheter failure means that the arterial catheter loses its original real-time and accurate function of monitoring the blood pressure due to various causes, such as blockage, buckling, displacement of the catheter, edema, bleeding, and oozing of the punctured limb requiring catheter removal. However, there have been few studies about the catheter failure and its related influencing factors. The present study aims to explore the status and influencing factors of failed ultrasound-guided invasive arterial catheterization in ICU patients. Methods: 264 patients who underwent ultrasound-guided invasive arterial catheterization from January 2019 to December 2019 were analyzed retrospectively to observe the status and failure of the arterial catheterization. Statistical analysis was performed using SPSS22.0 software. Results: Among the 264 cases with invasive arterial catheterization, 59 cases had catheter failure, the incidence was 22.34%. Single factor analysis showed that the use of analgesics, the protective catheter sleeve, and the affected limb restraints could prevent catheter failure significantly (PConclusion: Under ultrasound guidance, the incidence of catheter failure after invasive arterial catheterization is low. For the ICU patients undergoing invasive arterial catheterization, analgesics should be used, affected limbs should be constrained, and health education, and communication should be conducted to further reduce the incidence of catheter failure.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients
    AU  - Mei Feng
    AU  - Ni Zhang
    AU  - Miaohang Shan
    AU  - Yanbin Pan
    AU  - Wanxian Lu
    AU  - Qingran Lin
    Y1  - 2020/12/31
    PY  - 2020
    N1  - https://doi.org/10.11648/j.cmr.20200906.14
    DO  - 10.11648/j.cmr.20200906.14
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 140
    EP  - 144
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20200906.14
    AB  - Background: Catheter failure means that the arterial catheter loses its original real-time and accurate function of monitoring the blood pressure due to various causes, such as blockage, buckling, displacement of the catheter, edema, bleeding, and oozing of the punctured limb requiring catheter removal. However, there have been few studies about the catheter failure and its related influencing factors. The present study aims to explore the status and influencing factors of failed ultrasound-guided invasive arterial catheterization in ICU patients. Methods: 264 patients who underwent ultrasound-guided invasive arterial catheterization from January 2019 to December 2019 were analyzed retrospectively to observe the status and failure of the arterial catheterization. Statistical analysis was performed using SPSS22.0 software. Results: Among the 264 cases with invasive arterial catheterization, 59 cases had catheter failure, the incidence was 22.34%. Single factor analysis showed that the use of analgesics, the protective catheter sleeve, and the affected limb restraints could prevent catheter failure significantly (PConclusion: Under ultrasound guidance, the incidence of catheter failure after invasive arterial catheterization is low. For the ICU patients undergoing invasive arterial catheterization, analgesics should be used, affected limbs should be constrained, and health education, and communication should be conducted to further reduce the incidence of catheter failure.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China; College of Nursing, Jinan University, Guangzhou, China

  • College of Nursing, Jinan University, Guangzhou, China

  • Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Nursing, the First Affiliated Hospital of Jinan University, Guangzhou, China

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