Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training.

Meng Zhang, Shuchuan Zhao, Fangjing Bai, Shanshan Yu, Huixian Zhou, Siyuan Song, Guangmin Xu

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Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Meng Zhang *Department of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Shuchuan Zhao *Department of Anesthesiology, Bazhou District People's Hospital, Sichuan, China.

Fangjing BaiDepartment of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Shanshan YuDepartment of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Huixian ZhouInternal Medicine Department, Montefiore Medical Center Wakefield Campus, New York, NY, United States.

Siyuan SongDepartment of Neuroscience, Baylor College of Medicine, Houston, TX, United States.

Guangmin XuDepartment of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the effectiveness of the Plan-Do-Check-Act (PDCA) cycle in improving the first-attempt success rate of radial artery cannulation among anesthesiology residents undergoing standardized training. Methods: Eighty-six residents from Sichuan Provincial People's Hospital, comprising 70 anesthesiology and 16 non-anesthesiology residents, were randomly divided into a control group and a PDCA group, each with 43 participants. Key outcomes assessed included first-attempt success rate, procedure duration, ultrasound utilization, preparation errors, and complication rates. Results: In anesthesiology residents, the PDCA group achieved a significantly higher first-attempt success rate (94%, 31/33) compared to the control group (43%, 16/37; Conclusion: The PDCA cycle significantly enhances the first-attempt success rate and efficiency of radial artery cannulation while promoting greater adoption of ultrasound. These findings highlight its value in advancing standardized training for anesthesiology residents.

Indexed as

anesthesiologyPlan-Do-Check-Actradial artery cannulationstandardized trainingteaching method

Identifiers

PMID40134531

DOI10.3389/fsurg.2025.1564760

PMCPMC11932991

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