I love arterial lines for my ED Critical Care Patients!!! But are they necessary? Do they save lives?
I never thought they did, but now we have a beautiful study proving it:
EVERDAC Trial
N Engl J Med 2025;393:1875-1888
Today, we are joined by the lead author,
After listening, will you change your strategy with arterial line placement?
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Professor
Nassau University Medical Center
No conflicts of interest (coi).
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In the study, “blood pressure measurement in the noninvasive group was left to the discretion of the clinical teams.” (Table S2). I’d be interested in knowing more about the frequency of NIBP measurements in the noninvasive group (I can’t seem to find any info on this in the supplements). I would suspect NIBP measurements would be more frequent during vasopressor titration and then could be decreased once the patient became more stable. Scott: What are your thoughts on how frequently an NIBP should be checked on a patient with increase pressor needs (i.e. during initial the stabilization period) vs once… Read more »
great ?
I do q 10 minutes during initial stabilization
then usually q15-20 once they have settled
thank you Scott and Gregoire!
love all of this. I found all of it quite helpful. I need to get adept at both radial and femoral a-lines.
Scott, I know you (at least used to) place a-lines on nearly all your medical codes, I thought femorally. and have heard your thoughts on why and how.
thank you both , guys
tom,
merced, calif
ED/resus
ps: I understand that Gregoire’s work shows that A-lines are generally not useful , and potentially harmful, esp in the ICU. but that’s no excuse for my lack of adeptness in placing them, when needed.