Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis

British Journal of Anaesthesia
F H J van LoonA R A Bouwman

Abstract

Peripheral vein cannulation is a routine and straightforward invasive procedure, although i.v. access can be difficult to obtain. To increase the success rate of inserting an i.v. catheter, many devices have been proposed, including ultrasonography. The objective of this study was to compare ultrasound guidance with the traditional approach of palpation and direct visualisation for peripehral vein cannulation. The primary outcome was successful peripheral i.v. cannulation. Database search was performed on PubMed, Clinical Key, CINAHL, Cochrane Library of Clinical Trials, and Trip Database (from January 2000 to December 2017). Random-effect meta-analysis was performed to determine the pooled odds ratio for success in peripheral i.v. cannulation. After database review and eligibility screening, eight studies were included in the final analysis, with a total of 1660 patients. The success rate in the ultrasound group was 81% (n=855), and was 70% (n=805) in the control group, resulting in a pooled odds ratio for success upon ultrasound-guided peripheral i.v. cannulation of 2.49 (95% confidence interval 1.37-4.52, P=0.003). Furthermore, the ultrasound-guided technique reduced the number of punctures and time needed to achieve i.v. ac...Continue Reading

Citations

Jan 24, 2020·The Journal of Vascular Access·Fredericus Hj van LoonAngelique Tm Dierick-van Daele
Jul 29, 2020·The Journal of Vascular Access·Monteiro DatToffano Sem
Aug 21, 2020·Neuropsychology Review·Sven JoubertEmmanuel J Barbeau
Jul 28, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Emily N LarsenClaire M Rickard
Sep 25, 2020·Journal of Intensive Care Medicine·Malini MahendraMartina A Steurer
May 4, 2021·Military Medicine·Maureen N Hood
May 6, 2021·Journal of Ultrasound·José Manuel López-ÁlvarezDionisio Lorenzo Lorenzo-Villegas
Jun 29, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Rasmus JørgensenPia Iben Pietersen
Aug 5, 2021·Journal of Clinical Apheresis·Eric SalazarChristopher Leveque
Nov 20, 2021·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Tricia M KleidonAmanda J Ullman

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