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Arterial line insertion.

Clare Armstrong1, Ben Butson1,2,3, Paul Kwa1,3

  • 1Emergency Department, Townsville University Hospital, Townsville, Queensland, Australia.

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PubMed
Summary

This review covers evidence and controversies in arterial line insertion, a frequent emergency department (ED) procedure with varied clinician techniques and equipment choices.

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Area of Science:

  • Emergency Medicine
  • Clinical Procedures

Background:

  • Arterial line insertion is a common procedure in the emergency department (ED).
  • Significant variation exists among clinicians regarding preferred techniques and equipment used for arterial cannulation.

Purpose of the Study:

  • To review the existing evidence and ongoing controversies surrounding arterial line insertion in the ED.
  • To provide a comprehensive overview of best practices and areas of debate for this critical procedure.

Main Methods:

  • Literature review of studies and guidelines related to arterial line insertion.
  • Analysis of evidence supporting different techniques and equipment.
  • Discussion of common controversies and their resolutions.

Main Results:

  • Evidence supports various methods for arterial line insertion, with no single technique universally superior.
  • Equipment choices can impact success rates and complication profiles.
  • Ongoing debates exist regarding optimal site selection, sedation, and post-procedure care.

Conclusions:

  • Arterial line insertion requires careful consideration of technique and equipment based on patient factors and clinician expertise.
  • Further research is needed to standardize best practices and address persistent controversies in ED arterial cannulation.