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In-line positioning of ultrasound images using wireless remote display system with tablet computer facilitates ultrasound-guided radial artery catheterization

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Abstract

Ultrasound-guided procedures may be easier to perform when the operator’s eye axis, needle puncture site, and ultrasound image display form a straight line in the puncture direction. However, such methods have not been well tested in clinical settings because that arrangement is often impossible due to limited space in the operating room. We developed a wireless remote display system for ultrasound devices using a tablet computer (iPad Mini), which allows easy display of images at nearly any location chosen by the operator. We hypothesized that the in-line layout of ultrasound images provided by this system would allow for secure and quick catheterization of the radial artery. We enrolled first-year medical interns (n = 20) who had no prior experience with ultrasound-guided radial artery catheterization to perform that using a short-axis out-of-plane approach with two different methods. With the conventional method, only the ultrasound machine placed at the side of the head of the patient across the targeted forearm was utilized. With the tablet method, the ultrasound images were displayed on an iPad Mini positioned on the arm in alignment with the operator’s eye axis and needle puncture direction. The success rate and time required for catheterization were compared between the two methods. Success rate was significantly higher (100 vs. 70 %, P = 0.02) and catheterization time significantly shorter (28.5 ± 7.5 vs. 68.2 ± 14.3 s, P < 0.001) with the tablet method as compared to the conventional method. An ergonomic straight arrangement of the image display is crucial for successful and quick completion of ultrasound-guided arterial catheterization. The present remote display system is a practical method for providing such an arrangement.

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Acknowledgments

This work was partially supported by JSPS KAKENHI (grant numbers 26462371 and 25234567).

Conflict of interest

The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Anesthesiology, Osaka City University Medical School, 1-5-7 Asahi-machi, Abeno-ku, Osaka, 545-8586, Japan

    Masahiko Tsuchiya & Yusuke Funai

  2. Department of Anesthesia, Osaka Rosai Hospital, Kita-Ku, Sakai, 591-8025, Japan

    Koh Mizutani

  3. Department of Anesthesiology, Kansai Medical University, Hirakata, 573-1010, Japan

    Tatsuo Nakamoto

Authors
  1. Masahiko Tsuchiya
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  2. Koh Mizutani
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  3. Yusuke Funai
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  4. Tatsuo Nakamoto
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Corresponding author

Correspondence to Masahiko Tsuchiya.

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Tsuchiya, M., Mizutani, K., Funai, Y. et al. In-line positioning of ultrasound images using wireless remote display system with tablet computer facilitates ultrasound-guided radial artery catheterization. J Clin Monit Comput 30, 101–106 (2016). https://doi.org/10.1007/s10877-015-9692-9

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  • DOI: https://doi.org/10.1007/s10877-015-9692-9

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