Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis

Egan, Grace; Healy, Donagh; O’Neill, Heidi A.; Clarke‐Moloney, Mary; Grace, Pierce A.; Walsh, Stewart R.

doi:10.1136/emermed-2012-201652

Cited by 188 publications

(148 citation statements)

References 31 publications

(42 reference statements)

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“…[12] They found US guidance increased the likelihood of successful cannulation in difficult-access patients, just as the original studies had found (Odds ratio 2.42; 95% confidence interval 1.26-4.68).…”

Section: Introductionmentioning

confidence: 62%

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A Comparative Study on Ultrasound–guided Peripheral Intravenous Access Versus Traditional Blind Percutaneous Approach in Patients With Difficult Intravenous Access

Maryam¹,

Akkarapampil²,

Bhat³

2016

jemds

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Section: Introductionmentioning

confidence: 62%

“…The increased success rate is in agreement with other studies. [6,8,12,16,18] In comparison with the BP group with low satisfaction, patients with difficult IV access who were cannulated by ultrasonographic guidance showed a higher satisfaction score. (Mean of 2.88, SD 1.025, 't' 2.049 and 'p' 0.049) ( Table 2, Table 3).…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study on Ultrasound–guided Peripheral Intravenous Access Versus Traditional Blind Percutaneous Approach in Patients With Difficult Intravenous Access

Maryam¹,

Akkarapampil²,

Bhat³

2016

jemds

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“…Three systematic reviews have demonstrated that US-guidance increases the success rate of peripheral venous cannulation [5][6][7]. Peripheral venous access under sonographic guidance is safe in adults and in pediatric patients as well [8][9][10], with an overall success rate of 91% and a successful first attempt in 73% of the cases [11].…”

Section: Technique and Resultsmentioning

confidence: 99%

US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

Dietrich

Horn²,

Morf

et al. 2016

Med Ultrason

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Peripheral venous as well as arterial punctures have traditionally been performed on the basis of designated anatomical landmarks. However, due to patients' individual anatomy and vessel pathology and depending on individual operators' skill, this landmark approach is associated with a significant failure rate and complication risk. This review comments on the evidence-based recommendations on ultrasound (US)-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for US in Medicine and Biology (EFSUMB) from a clinical practice point of view. Part 1 of the review had its focus on general aspects of USguidance and on central venous access, whereas part 2 refers to peripheral vascular access.

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“…[1][2][3] The Agency for Healthcare Research and Quality declared the use of ultrasound a requisite adjunct for patient safety during all central line placements, and ultrasound use has been enthusiastically endorsed for this purpose for many years. 4 Peripheral IV access using ultrasound (PIVUS) has also been studied with no appreciable difference in ability or efficacy among emergency department physicians, physician assistants, registered nurses (RNs), or technicians.…”

Section: Introductionmentioning

confidence: 99%

Peripheral Intravenous Access Using Ultrasound Guidance: Defining the Learning Curve

Ault

Tanabe

Rosen

2015

Journal of the Association for Vascular Access

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Background: The need for peripheral intravenous (IV) access in anatomically challenging patients is becoming a more commonly encountered clinical problem. The significant investment devoted to physician training for ultrasound-guided vascular access has not yet been matched by a similar commitment to nursing. Nurses, paramedics, and physicians are becoming more enthusiastic about peripheral IV access with ultrasound (PIVUS); however, institutional and clinician support has not yet been forthcoming. The learning curve for PIVUS has never been rigorously studied, and may be flatter than previously assumed. Methods: Registered nurses were selected to participate as trainees. Training involved 1:1 sessions consisting of formal orientation to portable ultrasound, mentoring, and practice sessions with a nurse practitioner who has expertise in ultrasound-guided peripheral vascular access; hands-on, supervised practice cannulating vessels on a nonhuman tissue simulator; and supervised attempts on live patients. Results: Seven of 8 trainees completed the training. The average number of patient encounters required to achieve 10 successful IV placements was 25 (range ¼ 18-32). The average time required for successful vessel cannulation was 19.57 minutes (range ¼ 5-62 minutes). An average of 25 attempts was required to achieve proficiency, and average of 50 cases was required to maintain consistency. Conclusions: In today's practice environment, PIVUS skills are increasingly important. The results of our study demonstrate that, with appropriate hands-on training and supervision, these skills can be effectively taught to registered nurses.

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Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis

Cited by 188 publications

References 31 publications

A Comparative Study on Ultrasound–guided Peripheral Intravenous Access Versus Traditional Blind Percutaneous Approach in Patients With Difficult Intravenous Access

A Comparative Study on Ultrasound–guided Peripheral Intravenous Access Versus Traditional Blind Percutaneous Approach in Patients With Difficult Intravenous Access

US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

Peripheral Intravenous Access Using Ultrasound Guidance: Defining the Learning Curve

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