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

Abstract

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.

Point-of-Care Ultrasound: A Multimodal Tool for the Management of Sepsis in the Emergency Department

“…Establishing venous access in septic patients is technically challenging and often time-consuming due to diminished physiological reserves, hypovolemia, history of intravenous drug abuse and comorbidities. In this context, using US-guided placement of peripheral or central lines is an easy and non-invasive technique that has been shown to improve the success rate and reduce the number of unsuccessful attempts or other complications, compared to a standard procedure based on landmarks [ 92 , 93 ]. Common sites when performing ultrasound-guided peripheral venous access are the superficial veins of the upper limbs, namely the basilic vein, cephalic vein, median vein of the forearm and median cubital vein [ 94 ].…”

Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers

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