Placement of arterial catheters by organ procurement coordinators is becoming more common. Classroom and clinical training in this technique and provision of appropriate quality assurance and supportive policies/procedures by organ procurement programs will ensure the coordinators' success. This discussion reviews technical aspects of insertion of catheters into the radial, femoral, and axillary arteries, potential complications, and alternative noninvasive methods of measuring blood pressure.
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References
1.
GronbeckCMillerEL. Nonphysician placement of arterial catheters. Chest.1993;104:1716–1717.
2.
TegtmeyerKBradyGLaiSHodoRBranerD. Placement of an arterial line. N Engl J Med.2006;354:e13.
3.
FranklinC. The technique of radial artery cannulation. J Crit Illness.1995;10:424–432.
4.
ClarkVLKruseJA. Arterial catheterization. Crit Care Clin.1992;8:687–697.
5.
VeremakisCHalloranTA. The technique of arterial cannulation. J Crit Illness.1989;4:63–70.
6.
LehmannSCerraFB. Placement, management and complications of arterial lines: A review. Perspectives Crit Care.1988;1:126–144.
7.
ChenHSolaJELillemoeKD, eds. Manual of Common Bedside Surgical ProceduresBaltimore, Md: Williams and Wilkins, 1996:61–76.
8.
MarikPEBankovA. Sublingual capnometry versus traditional markers of tissue oxygenation in critically ill patients. Crit Care Med.2003;31:818–822.
9.
BelpommeVRicard-HibonADevoirC. Correlation of arterial PCO2 and PETCO2 in prehospital controlled ventilation. Am J Emerg Med.2005;23:852–859.
10.
JulekJFukushimaT. Oscillometric blood pressure measurement: The methodology, some observations, and suggestions. Biomed Instrum Technol.2005;39:237–241.
11.
LodatoRF. Arterial pressure monitoring. In: TobinMJ, ed. Principles and Practice of Intensive Care MonitoringNew York, NY: McGraw-Hill; 1998:91–106.
12.
PickeringTGHallJEAppelLJ. Recommendations for blood pressure measurement in humans and experimental animals: Part 1. Blood pressure measurements in humans: A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension.2005;45:142–161.
13.
HennemanEAHennemanPL. Intricacies of blood pressure measurement: Reexamining the rituals. Heart Lung.1989;18:263–273.
14.
BurAHirschlMMHerknerH. Accuracy of oscillometric blood pressure measurement according to the relation between cuff size and upper-arm circumference in critically ill patients. Crit Care Med.2000;28:371–376.
15.
BurAHerknerHVicekM. Factors influencing the accuracy of oscillometric blood pressure measurement in critically ill patients. Crit Care Med.2003;31:793–799.
16.
PownerDJDarbyJM. Management of variations in blood pressure during care of organ donors. Prog Transplant.2000;10:25–32.
17.
ChemlaDHebertJLZamaniKCoiraultCLecarpentierY. A new formula for estimating mean aortic pressure. Lancet.1999;353:1069–1070.
18.
DeLougheryTGLieblerJMSimondsVGoodnightSH. Invasive line placement in critically ill patients: Do hemostatic defects matter?Transfusion.1996;36:827–831.
19.
PaucaALWallenhauptSLKonNDTuckerWY. Does radial artery pressure accurately reflect aortic pressure?Chest.1992;102:1193–1198.
20.
DormanTBreslowMJLipsettPA. Radial artery pressure monitoring underestimates central arterial pressure during vasopressor therapy in critically ill surgical patients. Crit Care Med.1998;26:1646–1649.
21.
BeardsSCDoedensLJacksonALipmanJ. A comparison of arterial lines and insertion techniques in critically ill patients. Anesthesia.1994;49:968–973.
22.
MangarDThrushDNConnellGRDownsJB. Direct or modified Seldinger guide wire-directed technique for arterial catheter insertion. Anesth Analg.1993;76:714–717.
23.
GerberDRZeifmanCWEKhouliHIDibHPratterMR. Comparison of wire-guided and nonwire-guided radial artery catheters. Chest.1996;109:761–764.
24.
DurieMBeckmannUGilliesDM. Incidents relating to arterial cannulation as identified in 7,525 reports submitted to the Australian incident monitoring study (AIMS-ICU). Anaesth Intensive Care.2002;30:60–65.
25.
LevinPDSheininOGozalY. Use of ultrasound guidance in the insertion of radial artery catheters. Crit Care Med.2003;31:481–484.
26.
Bryan-BrownCWKwunKBLumbPDPiaRLGAzerS. The axillary artery catheter. Heart Lung.1983;12:492–497.
