Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Wildner, G; Pauker, N; Archan, S; Gemes, G; Rigaud, M; Pocivalnik, M; Prause, G.
Arterial line in prehospital emergency settings - A feasibility study in four physician-staffed emergency medical systems.
Resuscitation. 2011; 82(9):1198-1201
Doi: 10.1016/j.resuscitation.2011.05.002
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Wildner Gernot
- Co-Autor*innen der Med Uni Graz
- Farzi Sylvia Ingrid
- Gemes Geza
- Prause Gerhard
- Ribitsch Mirjam
- Rigaud Marcel
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- Abstract:
- Arterial lines are widely used in operating rooms, critical care and emergency departments. Although invasive arterial blood pressure monitoring and arterial blood gas analysis are prehospitally available, the use of arterial lines in the field remains an exception. This study evaluates the feasibility, indications and therapeutic consequences of prehospital arterial line insertion. Prospective observational study in four physician-staffed emergency medical systems (EMS), documenting patient status, indications, location of puncture, number of tries and time for puncture and therapeutic consequences. During the one-year observation period, arterial line placement succeeded in 115 (83.9%) of 137 patients. The median time for successful arterial cannulation was 2 min (IQR 1, 3 min; range: 30-600s), for preparing the invasive blood pressure monitoring 3 min (IQR 2, 4 min, range: 30-600s). Main indications were cardiopulmonary resuscitation (36.5%), post-resuscitation care (16.8%), respiratory insufficiency (24.1%) and unconsciousness (22.6%). Therapeutic consequences depended on whether the EMS was equipped with a blood gas analyzer or not and were, overall, reported in 51.3% of patients: fluids, vasoactive or antihypertensive therapy, correction of ventilation or acidosis. No complications occurred during the prehospital phase. The insertion of arterial lines is feasible under prehospital conditions, without delaying or complicating patient care. Indications originating from intrahospital use are also valid in the field. In particular when combined with arterial blood gas measurement, the use of arterial lines often leads to important therapeutic consequences. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Austria -
- Blood Gas Analysis -
- Cardiopulmonary Resuscitation - methods
- Cardiopulmonary Resuscitation - mortality
- Catheters, Indwelling - statistics & numerical data
- Clinical Competence -
- Emergency Medical Services - methods
- Emergency Treatment - methods
- Feasibility Studies -
- Female -
- Humans -
- Male -
- Middle Aged -
- Out-of-Hospital Cardiac Arrest - diagnosis
- Out-of-Hospital Cardiac Arrest - mortality
- Out-of-Hospital Cardiac Arrest - therapy
- Physicians - supply & distribution
- Prospective Studies -
- Survival Rate -
- Total Quality Management -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Advanced life support (ALS)
- Shock
- Blood pressure
- Blood gases
- Monitoring
- Emergency medical services