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World J Crit Care Med. Dec 9, 2025; 14(4): 109164
Published online Dec 9, 2025. doi: 10.5492/wjccm.v14.i4.109164
Intra-arterial catheters: An evidence-based review of device design, function and application
Julian Yaxley
Julian Yaxley, Division of Medicine, Queensland Health, Brisbane 4001, QLD, Australia
Author contributions: Yaxley J wrote the article.
Conflict-of-interest statement: The authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Julian Yaxley, FRACP, Division of Medicine, Queensland Health, 33 Charlotte Street, Brisbane 4001, QLD, Australia. julianyaxley@yahoo.com.au
Received: May 6, 2025
Revised: June 17, 2025
Accepted: September 16, 2025
Published online: December 9, 2025
Processing time: 212 Days and 2.8 Hours
Abstract

The intra-arterial catheter is a fundamental tool in contemporary critical care medicine. Intra-arterial catheters are widely used for a range of diagnostic and therapeutic purposes, and catheter insertion is an important clinical skill for clinicians managing critically unwell patients. The concepts and practical implications of catheter design on procedural technique and outcomes are frequently overlooked. This narrative review describes the clinical application of arterial catheters, the evidence supporting their use, and the rationale for key device characteristics.

Keywords: Arterial line; Intensive care; Invasive monitoring; Arterial blood gas

Core Tip: Given the variety of available catheter products, operator expertise, patient circumstances and healthcare settings, there is insufficient evidence to identify the best devices and catheterization techniques. Intra-arterial catheter insertion and utilization practices must be individualized.