Ultrasound-guided peripheral venous access: a systematic review of randomized-controlled trials.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationEur J Emerg Med. 2014, 21 (1):18-23
AbstractTo systematically review the current literature on the effect of using ultrasound (US) guidance for the placement of peripheral intravenous (PIV) catheters in patients with difficult access.
A systematic search was performed for the keywords ultrasonography, catheterization, and peripheral vein. A systematic review was performed on randomized-controlled studies comparing the use of dynamic US guidance with the conventional landmark technique. The primary outcome was the success rate of PIV placement and the secondary outcomes included the number of attempts and time to successful PIV placement.
A total of 1778 titles were identified from the search and the review identified 50 potentially relevant studies that were reviewed comprehensively; six articles were included in the final review. The six studies enrolled a total of 316 patients, 153 in the control group and 163 in the US group. Two of the studies reported a significantly higher success rate for US on the basis of initial success or the overall success rate. The two pediatric studies found that time to successful cannulation was shorter and fewer attempts were required to achieve success for patients randomized to US compared with the traditional method. The six studies included were found to vary significantly in the definition of difficult venous access, recording of procedure time, definition of success rate, and other important factors, making a meta-analysis inappropriate.
On the basis of this review, routine use of US guidance for PIV placement is not strongly supported by the literature.
DescriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the page
RightsArchived with thanks to European journal of emergency medicine : official journal of the European Society for Emergency Medicine
- Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis.
- Authors: Egan G, Healy D, O'Neill H, Clarke-Moloney M, Grace PA, Walsh SR
- Issue date: 2013 Jul
- Randomized controlled trial of ultrasound-guided peripheral intravenous catheter placement versus traditional techniques in difficult-access pediatric patients.
- Authors: Doniger SJ, Ishimine P, Fox JC, Kanegaye JT
- Issue date: 2009 Mar
- Ultrasound-guided peripheral venous access: a meta-analysis and systematic review.
- Authors: Stolz LA, Stolz U, Howe C, Farrell IJ, Adhikari S
- Issue date: 2015 Jul-Aug
- [Efficacy of Ultrasound-Guided Peripheral Intravenous Access: A Systematic Review and Meta-Analysis].
- Authors: Kuo CC, Wu CY, Feng IJ, Lee WJ
- Issue date: 2016 Dec
- Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis.
- Authors: van Loon FHJ, Buise MP, Claassen JJF, Dierick-van Daele ATM, Bouwman ARA
- Issue date: 2018 Aug