Transillumination facilitates coccygeal arterial cannulation in anaesthetised small‐breed dogs
Background Arterial access in small‐breed dogs is challenging, but arterial visualisation may facilitate the procedure, as evidenced in human medicine. This prospective, randomised study investigated the result of using transillumination to guide coccygeal artery cannulation in small‐breed dogs. Met...
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Veröffentlicht in: | Veterinary record 2023-06, Vol.192 (12), p.no-no |
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description | Background
Arterial access in small‐breed dogs is challenging, but arterial visualisation may facilitate the procedure, as evidenced in human medicine. This prospective, randomised study investigated the result of using transillumination to guide coccygeal artery cannulation in small‐breed dogs.
Methods
Coccygeal artery cannulation was attempted in dogs anaesthetised with butorphanol, midazolam, propofol and sevoflurane. In 70 dogs (standard technique group [STECHNIQUE group]), arterial cannulation was performed using pulse palpation. In 71 dogs (transilluminating‐standard technique group [TSTECHNIQUE group]), a transilluminating device was utilised. The device was placed on the dorsal tail, and the cannula was advanced towards the dark line visible against the bright background. If the artery was not well visualised due to pigmentation, pulse palpation was used. The success rate of arterial cannulation was compared between the groups using the chi‐squared test.
Results
Arterial cannulation was significantly more successful (p < 0.001) in the TSTECHNIQUE group (63/71 [88.7%]) than in the STECHNIQUE group (43/70 [61.4%]).
Limitations
The number of punctures attempted and the time to cannulation were not assessed, and the procedure was only performed by veterinarians experienced in arterial cannulation.
Conclusions
The transillumination allows for a more accurate approach to the coccygeal artery, improving the success of arterial cannulation when combined with pulse palpation. |
doi_str_mv | 10.1002/vetr.2881 |
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Arterial access in small‐breed dogs is challenging, but arterial visualisation may facilitate the procedure, as evidenced in human medicine. This prospective, randomised study investigated the result of using transillumination to guide coccygeal artery cannulation in small‐breed dogs.
Methods
Coccygeal artery cannulation was attempted in dogs anaesthetised with butorphanol, midazolam, propofol and sevoflurane. In 70 dogs (standard technique group [STECHNIQUE group]), arterial cannulation was performed using pulse palpation. In 71 dogs (transilluminating‐standard technique group [TSTECHNIQUE group]), a transilluminating device was utilised. The device was placed on the dorsal tail, and the cannula was advanced towards the dark line visible against the bright background. If the artery was not well visualised due to pigmentation, pulse palpation was used. The success rate of arterial cannulation was compared between the groups using the chi‐squared test.
Results
Arterial cannulation was significantly more successful (p < 0.001) in the TSTECHNIQUE group (63/71 [88.7%]) than in the STECHNIQUE group (43/70 [61.4%]).
Limitations
The number of punctures attempted and the time to cannulation were not assessed, and the procedure was only performed by veterinarians experienced in arterial cannulation.
Conclusions
The transillumination allows for a more accurate approach to the coccygeal artery, improving the success of arterial cannulation when combined with pulse palpation.</description><identifier>ISSN: 0042-4900</identifier><identifier>EISSN: 2042-7670</identifier><identifier>DOI: 10.1002/vetr.2881</identifier><identifier>PMID: 37004214</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Animals ; cannulation ; Catheterization, Peripheral - methods ; Catheterization, Peripheral - veterinary ; coccygeal artery ; Dogs ; Prospective Studies ; Radial Artery - diagnostic imaging ; small‐breed dog ; transillumination ; Transillumination - veterinary ; Ultrasonography, Interventional - veterinary ; vascular visualisation ; Veins & arteries ; Veterinary medicine</subject><ispartof>Veterinary record, 2023-06, Vol.192 (12), p.no-no</ispartof><rights>2023 British Veterinary Association.</rights><rights>2023 British Veterinary Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3131-582e354b7fc0070de164fbeec4a6d24d619858b108f2cde407daa53a3a412b913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fvetr.2881$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fvetr.2881$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37004214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hyunseok</creatorcontrib><creatorcontrib>Park, Kyoungsoo</creatorcontrib><creatorcontrib>Lee, Junhyup</creatorcontrib><creatorcontrib>Shin, Donghwi</creatorcontrib><creatorcontrib>Son, Won‐Gyun</creatorcontrib><creatorcontrib>Lee, Inhyung</creatorcontrib><title>Transillumination facilitates coccygeal arterial cannulation in anaesthetised small‐breed dogs</title><title>Veterinary record</title><addtitle>Vet Rec</addtitle><description>Background
Arterial access in small‐breed dogs is challenging, but arterial visualisation may facilitate the procedure, as evidenced in human medicine. This prospective, randomised study investigated the result of using transillumination to guide coccygeal artery cannulation in small‐breed dogs.
Methods
Coccygeal artery cannulation was attempted in dogs anaesthetised with butorphanol, midazolam, propofol and sevoflurane. In 70 dogs (standard technique group [STECHNIQUE group]), arterial cannulation was performed using pulse palpation. In 71 dogs (transilluminating‐standard technique group [TSTECHNIQUE group]), a transilluminating device was utilised. The device was placed on the dorsal tail, and the cannula was advanced towards the dark line visible against the bright background. If the artery was not well visualised due to pigmentation, pulse palpation was used. The success rate of arterial cannulation was compared between the groups using the chi‐squared test.
Results
Arterial cannulation was significantly more successful (p < 0.001) in the TSTECHNIQUE group (63/71 [88.7%]) than in the STECHNIQUE group (43/70 [61.4%]).
Limitations
The number of punctures attempted and the time to cannulation were not assessed, and the procedure was only performed by veterinarians experienced in arterial cannulation.
Conclusions
The transillumination allows for a more accurate approach to the coccygeal artery, improving the success of arterial cannulation when combined with pulse palpation.</description><subject>Animals</subject><subject>cannulation</subject><subject>Catheterization, Peripheral - methods</subject><subject>Catheterization, Peripheral - veterinary</subject><subject>coccygeal artery</subject><subject>Dogs</subject><subject>Prospective Studies</subject><subject>Radial Artery - diagnostic imaging</subject><subject>small‐breed dog</subject><subject>transillumination</subject><subject>Transillumination - veterinary</subject><subject>Ultrasonography, Interventional - veterinary</subject><subject>vascular visualisation</subject><subject>Veins & arteries</subject><subject>Veterinary medicine</subject><issn>0042-4900</issn><issn>2042-7670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10Mtq3DAUBmBRGjqTtIu-QDB0kywmo5tteVlCbhAIlGm36rF8nGqQ5YlkJ8wuj9BnzJNEzqRZFLLSEefj5_AT8pXRE0YpX97jEE64UuwDmXMq-aIsSvqRzOk0y4rSGdmPcZ1olQv-icxEOa2YnJPfqwA-WufGznoYbO-zFox1doABY2Z6Y7a3CC6DMGCwaTDg_eh21PoMPGAc_uBgIzZZ7MC5p8e_dcD0a_rb-JnsteAifnl9D8jP87PV6eXi-ubi6vT79cIIJtgiVxxFLuuyNZSWtEFWyLZGNBKKhsumYJXKVc2oarlpUNKyAcgFCJCM1xUTB-Rol7sJ_d2YTtKdjQadA4_9GDUvK1GpgrKJfvuPrvsx-HSd5qpIvaicqqSOd8qEPsaArd4E20HYakb1VLueatdT7ckeviaOdYfNm_zXcwLLHXiwDrfvJ-lfZ6sfL5HPcpCO7g</recordid><startdate>20230617</startdate><enddate>20230617</enddate><creator>Kim, Hyunseok</creator><creator>Park, Kyoungsoo</creator><creator>Lee, Junhyup</creator><creator>Shin, Donghwi</creator><creator>Son, Won‐Gyun</creator><creator>Lee, Inhyung</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20230617</creationdate><title>Transillumination facilitates coccygeal arterial cannulation in anaesthetised small‐breed dogs</title><author>Kim, Hyunseok ; Park, Kyoungsoo ; Lee, Junhyup ; Shin, Donghwi ; Son, Won‐Gyun ; Lee, Inhyung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3131-582e354b7fc0070de164fbeec4a6d24d619858b108f2cde407daa53a3a412b913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Animals</topic><topic>cannulation</topic><topic>Catheterization, Peripheral - methods</topic><topic>Catheterization, Peripheral - veterinary</topic><topic>coccygeal artery</topic><topic>Dogs</topic><topic>Prospective Studies</topic><topic>Radial Artery - diagnostic imaging</topic><topic>small‐breed dog</topic><topic>transillumination</topic><topic>Transillumination - veterinary</topic><topic>Ultrasonography, Interventional - veterinary</topic><topic>vascular visualisation</topic><topic>Veins & arteries</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hyunseok</creatorcontrib><creatorcontrib>Park, Kyoungsoo</creatorcontrib><creatorcontrib>Lee, Junhyup</creatorcontrib><creatorcontrib>Shin, Donghwi</creatorcontrib><creatorcontrib>Son, Won‐Gyun</creatorcontrib><creatorcontrib>Lee, Inhyung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary record</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hyunseok</au><au>Park, Kyoungsoo</au><au>Lee, Junhyup</au><au>Shin, Donghwi</au><au>Son, Won‐Gyun</au><au>Lee, Inhyung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transillumination facilitates coccygeal arterial cannulation in anaesthetised small‐breed dogs</atitle><jtitle>Veterinary record</jtitle><addtitle>Vet Rec</addtitle><date>2023-06-17</date><risdate>2023</risdate><volume>192</volume><issue>12</issue><spage>no</spage><epage>no</epage><pages>no-no</pages><issn>0042-4900</issn><eissn>2042-7670</eissn><abstract>Background
Arterial access in small‐breed dogs is challenging, but arterial visualisation may facilitate the procedure, as evidenced in human medicine. This prospective, randomised study investigated the result of using transillumination to guide coccygeal artery cannulation in small‐breed dogs.
Methods
Coccygeal artery cannulation was attempted in dogs anaesthetised with butorphanol, midazolam, propofol and sevoflurane. In 70 dogs (standard technique group [STECHNIQUE group]), arterial cannulation was performed using pulse palpation. In 71 dogs (transilluminating‐standard technique group [TSTECHNIQUE group]), a transilluminating device was utilised. The device was placed on the dorsal tail, and the cannula was advanced towards the dark line visible against the bright background. If the artery was not well visualised due to pigmentation, pulse palpation was used. The success rate of arterial cannulation was compared between the groups using the chi‐squared test.
Results
Arterial cannulation was significantly more successful (p < 0.001) in the TSTECHNIQUE group (63/71 [88.7%]) than in the STECHNIQUE group (43/70 [61.4%]).
Limitations
The number of punctures attempted and the time to cannulation were not assessed, and the procedure was only performed by veterinarians experienced in arterial cannulation.
Conclusions
The transillumination allows for a more accurate approach to the coccygeal artery, improving the success of arterial cannulation when combined with pulse palpation.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>37004214</pmid><doi>10.1002/vetr.2881</doi><tpages>5</tpages></addata></record> |
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subjects | Animals cannulation Catheterization, Peripheral - methods Catheterization, Peripheral - veterinary coccygeal artery Dogs Prospective Studies Radial Artery - diagnostic imaging small‐breed dog transillumination Transillumination - veterinary Ultrasonography, Interventional - veterinary vascular visualisation Veins & arteries Veterinary medicine |
title | Transillumination facilitates coccygeal arterial cannulation in anaesthetised small‐breed dogs |
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