Search tips
Search criteria 


Logo of annrcseLink to Publisher's site
Ann R Coll Surg Engl. 2009 July; 91(5): 438–439.
PMCID: PMC2758455
Technical Notes and Tips
Bruce Campbell, Section Editor

Hand in Glove

Kinking of the radial artery line is a common problem with malpositioning of the hand in the anaesthetised patient during surgery. Line kinking can cause digital ischaemia1 and altered arterial blood pressure readings. Repositioning the line whilst the patient's hand is under sterile drapes is difficult, disrupts surgery and can prolong the duration of anaesthesia. A simple and cheap solution is to use an inflated latex glove and position the patient's hand with interlocking fingers around it as shown in Figure 1, thus maintaining dorsiflexion of the patient's wrist and so preventing arterial line kinking.

Figure 1
Hand positioned around inflated latex glove avoids kinking of the radial artery line.


1. Sferir R, Khoury S, Khoury G, Rustum J, Ghabash M. Ischaemia of the hand after radial artery monitoring. Cardiovasc Surg. 1996;4:456–8. [PubMed]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England