Application of ultrasound guidance in peripheral venous access:a Meta-analysis

VernacularTitle:超声引导在外周静脉穿刺中应用效果的Meta分析
Author: Tong HAN ¹ ; Yingli WANG ; Mei XU
Author Information

1. 100730,中国医学科学院北京协和医院手术室
Keywords: Peripheral venous access; Ultrasound; Meta-analysis
From: Chinese Journal of Modern Nursing 2017;23(8):1105-1108
CountryChina
Language:Chinese
Abstract: Objective To systematically evaluate effects of ultrasound guidance in peripheral venous access. Methods A search of CNKI,CBM,VIP,WanFang database,MEDLINE,EMbase,Cochrane library was conducted to identify the random control trials (RCTs) about the peripheral veins catheter by ultrasound guidance from establisment to August 2015, RevMan 5.3 software was used for Meta-analysis. Results A number of 8 RCTs including 395 patients were involved in the study. Meta-analysis showed that ultrasound guidance could improve the success rate of the first attempt (Z=2.19,P<0.05) as well as the overall success rate (Z=3.08,P< 0.05). It reduced the numbers of the peripheral venous catheterization (Z=3.18,P< 0.05), but could not reduce the puncture time (Z=0.02,P> 0.05). Conclusions Ultrasound guidance can be promoted in clinical especially for difficult peripheral vein catheterization. Other methods should be applied for urgent and severe patients to reduce the time for the treatment.