TY - JOUR AU - Shirasaka, Masako AU - Unoki, Takeshi AU - Sakuramoto, Hideaki AU - Ishikawa, Koji AU - Okamura, Hideaki AU - Kitayama, Mio AU - Nakayama, Asami AU - Ikeda, Yuta AU - Wakabayashi, Yuki PY - 2023/05/01 Y2 - 2024/03/29 TI - Survey for Insertion and Management of Peripheral Arterial Catheter in the Acute Care Unit JF - International Journal of Critical Care JA - IJCC VL - 17 IS - 1 SE - Research Article DO - 10.29173/ijcc35 UR - https://wfccn-ijcc.com/index.php/ijcc/article/view/35 SP - 6-21 AB - <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> ER -