Correspondence  |   March 2018
In Reply
Author Notes
  • Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio (A.E.D.). DUNCANA@ccf.org
  • (Accepted for publication November 13, 2017.)
    (Accepted for publication November 13, 2017.)×
Article Information
Correspondence
Correspondence   |   March 2018
In Reply
Anesthesiology 3 2018, Vol.128, 675-676. doi:10.1097/ALN.0000000000002030
Anesthesiology 3 2018, Vol.128, 675-676. doi:10.1097/ALN.0000000000002030
We thank Drs. Bowdle and Sheu for their interest and thoughtful comments on our recent article,1  which reported a low risk of complications from intraarterial brachial pressure monitoring during cardiac surgery.
Although use of ultrasound is increasing, we typically use direct palpation of the brachial arterial pulse for our first attempt at arterial catheter insertion. Ultrasound for vascular cannulation was not available during the early years of our study period, and our current practice reserves this technology for difficult arterial cannulation. It is possible, however, that increasing use of ultrasound may lower the rate of complications even further than our initial report.
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