Evaluation of distal radial artery cross-sectional internal diameter in pediatric patients using ultrasound

2013 ◽  
Vol 23 (5) ◽  
pp. 460-462 ◽  
Author(s):  
Eliane Q.S. Varga ◽  
Keith A. Candiotti ◽  
Bruce Saltzman ◽  
Steven Gayer ◽  
Jadelis Giquel ◽  
...  
Keyword(s):  
Radial Artery ◽  
Pediatric Patients ◽  
Internal Diameter ◽  
Cross Sectional ◽  
Distal Radial Artery

scholarly journals Comparison of Distal Transradial in the Anatomical Snuffbox versus Conventional Transradial Access for Coronary Angiography and Intervention-An Experience in 100 cases

2018 ◽  
Vol 13 (2) ◽  
pp. 40-45 ◽  
Author(s):  
Md Rasul Amin ◽  
Chayan Kumar Singha ◽  
Sajal Krisna Banerjee ◽  
Harisul Hoque ◽  
SM Ear E Mahabub ◽  
...  
Keyword(s):  
Radial Artery ◽  
Coronary Bypass ◽  
Coronary Angiogram ◽  
Cross Sectional ◽  
Radial Access ◽  
Transradial Access ◽  
Feasible Option ◽  
Procedural Success ◽  
Venous Fistula ◽  
Distal Radial Artery

Background: Distal transradial access in the anatomical snuffbox has advantages over standard proximal access in terms of patient and operator comfort levels and risk of ischemia. Radial artery preservation could be a relevant issue in patients requiring multiple radial artery procedures and coronary bypass with the use of a radial graft or construction of Arterio-Venous fistula in patient of chronic kidney disease. One relevant drawback is the challenging puncture of a small and weak artery, with a steeper learning curve.Objectives:This study sought to compare the feasibility, safety and complications of coronary angiogram and intervention betweenthe distal transradial in the anatomical snuffbox and conventional transradial access.Methods: In this cross sectional studya total of 100 patients were assigned to perform coronary angiogram or intervention through conventional transradial accessand distal transradial in the anatomical snuffboxfrom November 2017 to April 2018 in theDepartment of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU). We divided the total patient in two groups, with 50 patientsin each group. All of them had normal pulse in theirradial and dorsal radial artery.One group was subjected toconventional right transradial accessand another to rightdistal transradial in the anatomical snuffbox.Demographic features &complications were recorded.Results: The overall procedural success was 98% which was greater than expected in our early clinical experience for distal transradial access with 48 successful accesses out of 50 patients and for conventional radial approach it was also 98%.There was failure to access of distal radial artery in two casesthat may be due to hypoplastic/vasospastic distal radial artery and for conventional radial artery radial artery spasm was the cause. Patients of conventional radial access had more spasm, hematoma, numbness and hospital stay (p< 0.001) than distal radial access. Considering all, it may be said thatdistal transradialaccess was very much effective and safe as there was less spasm, more comfortable to the patient, no hand ischemia, hematoma, numbness, and early hospital discharge.Conclusion: Distal transradial access in the anatomical snuffbox for coronary angiogram and intervention is abetter alternative, safe and feasible option to conventional transradial access for both patients and operators.University Heart Journal Vol. 13, No. 2, July 2017; 40-45

scholarly journals Anatomical Variations of Radial Artery-Its morphology and Clinical Implications

2020 ◽  
Vol 1 (1) ◽  
pp. 86-90
Author(s):  
Muhammad Tariq
Keyword(s):  
Radial Artery ◽  
Local Population ◽  
Anatomical Variations ◽  
P Value ◽  
Internal Diameter ◽  
Terminal Branch ◽  
Cross Sectional ◽  
Female Ratio ◽  
Morphological Variations ◽  
The Right

Background: The radial artery is the smaller terminal branch of the brachial artery. It is one of the most commonly used arteries for various interventions. Anatomical variations exist and can predispose patients to iatrogenic injury if the operator is unaware of normal radial artery morphology. The present study focuses on giving detailed information about radial artery measurements in our local population. Methods: This was a cross-sectional observational study, conducted in the anatomy department of Jinnah Medical College Peshawar from 2017 to 2018. This study was conducted on 42 formalin-fixed cadavers, yielding 84 upper limbs. The radial artery was dissected and studied; length, external and internal diameters were measured. Data was entered in SPSS v20 and analyzed. Results: The mean age of the study population was 36 ± 11.25. Male to female ratio was 1:1. The most common site of origin of the radial artery was distal to head of the radius. The right radial artery was longer than the left. The right radial artery was broader in males as compared to females with a p-value of <0.05. The external and internal diameters of the radial artery decreased gradually from start to the endpoint for both the genders. The external diameters of the left radial artery were greater than those on the right side. The right radial artery had a larger internal diameter than the left side. Conclusion: The anatomy and morphology of radial artery have many documented variations. Radiologist and surgeons should have a good understanding of normal morphological variations of radial artery.

Relationship of Scabies With Pioderma: As a Risk Factor

2018 ◽  
Vol 1 (1) ◽  
pp. 33-42
Author(s):  
Yulia Farida Yahya ◽  
Fifa Argentina ◽  
Rusmawardiana Rusmawardiana
Keyword(s):  
Staphylococcus Aureus ◽  
Elementary School ◽  
Risk Factor ◽  
Low Income ◽  
Primary Schools ◽  
Pediatric Patients ◽  
Group A Streptococcus ◽  
Cross Sectional ◽  
The Government ◽  
Scabies Infestation

Scabies is a parasitic infestation of the skin, that is affecting on the low income and crowded community in many tropical countries, especially developing countries such as Indonesia. Scabies infestation increases the incidence of secondary pyoderma include impetigo, folliculitis, cellulitis, ecthyma, abscess. Secondary pyoderma is a skin infection disease mainly caused by     group A Streptococcus (GAS) and Staphylococcus aureus (SA). Pyoderma is a risk factor for the glomerulonephritis infection, rheumatic diseases, which significantly increases morbidity and mortality, causing the government burden. The aim of this study is  determining the etiology and correlation of pyoderma infection in scabies patient. To determine sosio-demographic included sex, age in pediatric patients in primary schools (SD) in the district of Kertapati Palembang. The study design was cross sectional, and study samples were new scabies patients in the elementary school (age 6-14-year-old) with or without pyoderma. Clinical findings included history, physical examination and diagnostic procedure, which was investigation of skin scraping specimen material (SSB = skin surface biopsy) in confirmation with dermoscopic polar examination (DS) to show Sarcoptes scabiei mites. Microbiological examination with Gram stain identified the etiology of pyoderma.  Results of this study shows that there was a significance relationship between scabies infestation and pyoderma in children in elementary school. Staphylococcus aureus dan GAS are the most common caused of pyoderma in pediatric patients with scabies. Conclusion is there is a significant correlation between scabies and pyoderma. There is  a need to provide scabies and pyoderma medication at primary care health center as well as counseling for prevention in Palembang area with crowded population periodically.  

scholarly journals Prevalence and Contributing Factors Associated With Postoperative Pain in Pediatric Patients: A Cross-Sectional Follow-up Study

2021 ◽  
Vol 23 ◽  
pp. 100159
Author(s):  
Zemenay Ayinie Mekonnen ◽  
Debas Yaregal Melesse ◽  
Habitamu Getinet Kassahun ◽  
Tesera Dereje Flatie ◽  
Misganaw Mengie Workie ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pediatric Patients ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Follow Up Study

Pediatric Drug-Related Problems in an Indian Tertiary Care Hospital

2021 ◽  
Vol 08 ◽  
Author(s):  
Qaiser Jahan ◽  
K. Pallavi ◽  
R. Hamshika ◽  
Varun Talla ◽  
Jupally Venkateshwar Rao ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Related Problems ◽  
Cross Sectional ◽  
Pediatric Department ◽  
Root Cause ◽  
Patient Morbidity ◽  
Tertiary Care Hospitals

Background: Improper drug usages expose patients to drug-related problems (DRPs) and can be the cause of patient morbidity and even mortality, especially frequent in hospitalized patients and pediatric groups. Objective: The objective of the present study was to identify and assess the drug-related problems in the pediatric department of tertiary care hospitals. Methods: The cross-sectional, observational study was carried out for six months included pediatric in-patients of age ≤15 years of either gender in pediatric units of tertiary care hospitals of India. The enrolled pediatric patients were observed for any drug-related problem that were further recorded and classified using the DRP registration format taken from Cipolle et al. The assessment of therapy was done by using positional statements from standard organizations and guidelines. Main outcome measure: Incidences of drug-related problems and their assessment and root cause analysis. Results: A total of 970 DRPs were identified in 296 patients, with an overall incidence of 49.3%. The incidence of DRPs was maximum in the age group of 2-12 years of children (51.2%). Patients who took six or more drugs were around eight (OR:8.41 , 95% CI: 5.22 to 13.55) times more likely to have DRPs compared to those patients who took less than six drugs. The incidences of DRPs were more in patients who were hospitalized for ≥ 7 days. Conclusion: The present study revealed significantly higher incidences of DRPs in hospitalized pediatric patients necessitating the involvement of clinical pharmacists in the pediatric department of tertiary care hospitals.

Ultrasound-guided access to the distal radial artery at the anatomical snuffbox for catheter-based vascular interventions: a technical guide

2021 ◽  
Vol 16 (16) ◽  
pp. 1342-1348 ◽  
Author(s):  
Anastasia Hadjivassiliou ◽  
Ferdinand Kiemeneij ◽  
Sandeep Nathan ◽  
Darren Klass
Keyword(s):  
Radial Artery ◽  
Ultrasound Guided ◽  
Technical Guide ◽  
Distal Radial Artery
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