Efficacy of Ultrasound-Guided Peripheral Intravenous Cannulation versus Standard of Care: A Systematic Review and Meta-analysis

Tran, Quincy; Fairchild, Matthew; Yardi, Isha; Mirda, Danielle; Markin, Katherine; Pourmand, Ali

doi:10.1016/j.ultrasmedbio.2021.07.002

Cited by 20 publications

(29 citation statements)

References 26 publications

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“…All systematic reviews were published between 2012 to 2022, and only four did not provide quantitative synthesis [13,[20][21][22]. The number of included studies in each review ranged from two [22] to ten [11], most of them provided data from randomized controlled trials (RCT), but four studies also incorporated data from observational studies [11,12,20,23]. Likewise, the sample size of the included systematic reviews ranged from 75 to 1860 [11,22].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Overall, the outcome variables related to the efficiency and effectiveness of US-guided method were as follows: (a) overall success, (b) first-attempt success rate; (c) number of attempts; (d) time spent for SPC insertion; (e) satisfaction of patients; and (f ) associated complications to technique (pain, phlebitis, hematoma, accidental catheter removal, obstruction, arterial or nerve puncture and infiltration) [8][9][10][11][18][19][20][21][22][23][24][25].…”

Section: Study Characteristicsmentioning

confidence: 99%

Section: Grade Evidence Qualitymentioning

confidence: 99%

“…Evidence quality of the 27 associations assessed according to GRADE ranged from 'Moderate' (11%) [11] to 'Very low' certainty evidence (7.4%) [24,25]. Twenty-two associations assessed showed 'Low' certainty evidence (Table S5) [10][11][12][23][24][25][26][27]. The evidence map (Table S6) shows that the US-guided method is a protective factor related to both 'first-attempt success rate' and 'number of attempts' outcomes, with a 'Moderate' certainty evidence [11].…”

Section: Grade Evidence Qualitymentioning

confidence: 99%

See 3 more Smart Citations

Ultrasound-guided versus traditional method for peripheral venous access: an umbrella review

et al. 2022

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Background Short peripheral catheters (SPC) insertion technique has a high failure rate, one of the reasons why the ultrasound (US)-guided method has been proposed as a valid alternative to traditional technique in SPC insertion. This umbrella review aims to synthesize the available evidence comparing the US-guided method with the traditional method on SPC insertion in terms of effectiveness, safety and patient satisfaction. Methods An umbrella review addressing the comparison between US-guided versus traditional method for SPC insertion in which only systematic reviews of all comparative study designs were eligible was carried out. Previous systematic reviews and meta-analyses were systematically searched in MEDLINE, EMBASE, Web of Science and Cochrane Library. Methodological quality was assessed with AMSTAR-2 tool. The quality of evidence per association was assessed using the GRADE criteria and was stablished as high, moderate, low and very low. Results Twelve systematic reviews with a range of 75–1860 patients were included. Moderate certainty evidence supports the positive effect of US-guided method on first-attempt success rate and number of attempts. There is moderate certainty evidence that US-guided method does not reduce the time spent in SPC insertion. Low certainty evidence supports that US-guided method improves both overall success rates and patient satisfaction. Emergency department was the main hospital department where these findings were reported. Conclusions The best current evidence indicates that US-guided method for SPC insertion is postulated as a valid alternative for both adult and pediatric population, especially in patients with difficult venous access and in hospital departments where optimal vascular access in the shortest time possible is critical. Trial registration PROSPERO: CRD42021290824.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Grade Evidence Qualitymentioning

confidence: 99%

Section: Grade Evidence Qualitymentioning

confidence: 99%

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Ultrasound-guided versus traditional method for peripheral venous access: an umbrella review

et al. 2022

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“…Point-of-care ultrasound or bedside ultrasound, hereafter referred to as ultrasound, in pediatric medicine is increasingly used for procedural guidance, as a noninvasive tool that can safeguard the needle tip trajectory and increase success rates. 5,6 Ultrasound is a known effective adjunct in adult PIVC insertion, 7 particularly in patients deemed to have difficult intravenous access (DIVA), 8 but the association is less clear in children. [9][10][11][12] Given that children are often noncompliant for procedures and generally have smaller target vessels, the use of ultrasound conceptually adds another element of complexity.…”

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confidence: 99%

Ultrasound for Pediatric Peripheral Intravenous Catheter Insertion: A Systematic Review

2022

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BACKGROUND AND OBJECTIVES: Establishing peripheral intravenous catheter (PIVC) access in infants and children is a common procedure but can be technically difficult. The primary objective was to determine the effect ultrasound had on first attempt PIVC insertion success rates in the pediatric population. Secondary objectives included overall success rates and subgroups analyses. METHODS: A systematic review of articles using Medline, Embase, CENTRAL, World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov. Randomized trials evaluating ultrasound-guided PIVC insertion against the landmark approach in pediatric patients who reported at least 1 outcome of success rate (first attempt or overall) were included. Methodological quality of the literature was assessed using the Revised Cochrane risk-of-bias tool for randomized trials. A meta-analysis using a random-effects model was performed. RESULTS: Nine studies with 1350 patients, from a total of 1033 studies, were included for analysis. Ultrasound showed a statistically significant improvement in PIVC insertion success on first attempt in 5 of 8 studies, with an overall success rate of 78% in the ultrasound group and 66% in the control group. The secondary outcome of overall success was improved by ultrasound in studies that allowed ≥3 attempts (pooled OR 3.57, 95% CI 2.05 to 6.21, P < .001, I2 = 0.0%). CONCLUSIONS: This systematic review suggested that ultrasound improves pediatric PIVC first pass and overall success rates. Subgroup analysis showed improvement in PIVC success rates for patients with difficult intravenous access and a single operator, dynamic, short-axis ultrasound technique.

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Ultrasound guidance versus landmark method for peripheral venous cannulation in adults

Tada

Yamada

Matsumoto³

et al. 2022

Cochrane Database of Systematic Reviews

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Efficacy of Ultrasound-Guided Peripheral Intravenous Cannulation versus Standard of Care: A Systematic Review and Meta-analysis

Cited by 20 publications

References 26 publications

Ultrasound-guided versus traditional method for peripheral venous access: an umbrella review

Ultrasound-guided versus traditional method for peripheral venous access: an umbrella review

Ultrasound for Pediatric Peripheral Intravenous Catheter Insertion: A Systematic Review

Ultrasound guidance versus landmark method for peripheral venous cannulation in adults

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