@article{Shirasaka_Unoki_Sakuramoto_Ishikawa_Okamura_Kitayama_Nakayama_Ikeda_Wakabayashi_2023, title={Survey for Insertion and Management of Peripheral Arterial Catheter in the Acute Care Unit}, volume={17}, url={https://wfccn-ijcc.com/index.php/ijcc/article/view/35}, DOI={10.29173/ijcc35}, abstractNote={<p><strong>Background:</strong> Arterial catheters are commonly used in acute care <u>units</u> for hemodynamic monitoring in conjunction with blood pressure and blood gas analysis. Complications arising from the use of arterial catheters have been reported; however, few studies have focused on standard practice of arterial catheters.</p> <p><strong>Aim:</strong> To clarify the management, particularly the insertion frequency and timing, of peripheral radial arterial catheters in acute care units in Japan.</p> <p><strong>Methods:</strong> We developed 34 questions through an interactive process based on guidelines and clinical experience to create a digital survey. This survey was conducted over a month. Participants were nurses working in acute care units in Japan who received electronically distributed surveys through nursing-specific mailing lists and social network services.</p> <p><strong>Results: </strong>A total of 451 responses were collected; 224 were used for analysis. Respondents reported 35% implemented routine insertion of arterial catheters for all newly admitted patients, while 58% would insert the arterial catheter within 24 hours of admission.  Only 7% of respondents did not add heparin to the pressurized bag. Of the respondents, 51% had a rule to change the pressurized bag of fluids every 3 days. Splinting of the wrist was a routine procedure for 41% of respondents.</p> <p><strong>Conclusions:</strong> Arterial catheters were commonly used in all acute care units.  Based on the results of the survey, we recommend the use of heparin as a flush fluid should be reconsidered. The high rate of unnecessary arterial catheter insertions and the routine use of splinting need to be reassessed.</p>}, number={1}, journal={International Journal of Critical Care}, author={Shirasaka, Masako and Unoki, Takeshi and Sakuramoto, Hideaki and Ishikawa, Koji and Okamura, Hideaki and Kitayama, Mio and Nakayama, Asami and Ikeda, Yuta and Wakabayashi, Yuki}, year={2023}, month={May}, pages={6–21} }