Modified Allen's Test versus Barbeau Test for Estimating Hands' Collateral Circulation before Radial Artery Puncture for Mechanically Ventilated Patients
4 affiliations
- 1Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt
- 2Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt,
- 3Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Beni Suif University, Egypt
- 4Prof of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
Abstract
Background: Assessing collateral circulation before radial artery puncture iscrucial. Modified Allen’s Test (MAT) and Barbeau test (BT) are non-invasivemodalities used to evaluate palmar arch circulation. Aim: compare modifiedAllen's test versus Barbeau test for estimating of hands’ collateral circulationbefore radial artery puncture for mechanically ventilated patients. Design: Aquasi-experimental research design was used. Setting: This study was conductedat Surgical Intensive Care Units of Emergency Tanta University Hospital andTanta International Teaching hospital. Subjects: A convenience sampling of 400adult mechanically ventilated patients was selected. Tools of the study: Threetools were used: Tool I: mechanically ventilated patients’ assessment, Tool II:Assessment of collateral circulation parameters, and Tool III: radial arterypuncture related complications assessment. Results: showed high rates ofpositive results indicating adequate collateral circulation (68.0% for MAT and77.0% for BT). Although, there was no significant difference (p=0.154).However, BT demonstrated consistently stronger associations with peripheralcirculation parameters, hemodynamic stability, and skin assessment.Conclusion: Barbeau Test showed greater sensitivity with peripheral circulationparameters, hemodynamic stability, and skin assessment indicators compared tothe Modified Allen’s Test. Recommendations: Barbeau Test provides moresensitive and objective assessment than Modified Allen’s Test before radial arterypuncture and replication of the study on large probability sampling.
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BibTeX
@article{eleter2026modified,
title = {{Modified Allen's Test versus Barbeau Test for Estimating Hands' Collateral Circulation before Radial Artery Puncture for Mechanically Ventilated Patients}},
author = {Nadia Eleter and Nagwa Ghoneim and Hamdya Ali and Soheir. Weheida},
journal = {Tanta Scientific Nursing Journal},
year = {2026},
month = oct,
doi = {10.21608/tsnj.2026.534059},
url = {https://doi.org/10.21608/tsnj.2026.534059},
note = {CC BY},
}
RIS
TY - JOUR
TI - Modified Allen's Test versus Barbeau Test for Estimating Hands' Collateral Circulation before Radial Artery Puncture for Mechanically Ventilated Patients
AU - Nadia Eleter
AU - Nagwa Ghoneim
AU - Hamdya Ali
AU - Soheir. Weheida
PY - 2026
DA - 2026/10/30
JO - Tanta Scientific Nursing Journal
DO - 10.21608/tsnj.2026.534059
UR - https://doi.org/10.21608/tsnj.2026.534059
AB - Background: Assessing collateral circulation before radial artery puncture iscrucial. Modified Allen’s Test (MAT) and Barbeau test (BT) are non-invasivemodalities used to evaluate palmar arch circulation. Aim: compare modifiedAllen's test versus Barbeau test for estimating of hands’ collateral circulationbefore radial artery puncture for mechanically ventilated patients. Design: Aquasi-experimental research design was used. Setting: This study was conductedat Surgical Intensive Care Units of Emergency Tanta University Hospital andTanta International Teaching hospital. Subjects: A convenience sampling of 400adult mechanically ventilated patients was selected. Tools of the study: Threetools were used: Tool I: mechanically ventilated patients’ assessment, Tool II:Assessment of collateral circulation parameters, and Tool III: radial arterypuncture related complications assessment. Results: showed high rates ofpositive results indicating adequate collateral circulation (68.0% for MAT and77.0% for BT). Although, there was no significant difference (p=0.154).However, BT demonstrated consistently stronger associations with peripheralcirculation parameters, hemodynamic stability, and skin assessment.Conclusion: Barbeau Test showed greater sensitivity with peripheral circulationparameters, hemodynamic stability, and skin assessment indicators compared tothe Modified Allen’s Test. Recommendations: Barbeau Test provides moresensitive and objective assessment than Modified Allen’s Test before radial arterypuncture and replication of the study on large probability sampling.
SN - 2735-5519
SN - 2314-5595
ER -