What do Cochrane systematic reviews say about ultrasound-guided vascular access?
ABSTRACT BACKGROUND: Ultrasonography is currently used in investigating many vascular diseases, especially for guiding vascular access. OBJECTIVE: The objective here was to summarize the evidence from Cochrane systematic reviews (SRs) on the effects of ultrasound-guided vascular access as an int...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000300284&lng=en&tlng=en |
| _version_ | 1828346572062064640 |
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| author | Gabriela Araújo Attie Carolina Dutra Queiroz Flumignan Melissa Andreia de Moraes Silva Edivando de Moura Barros Raul Muffato Daolio Henrique Jorge Guedes Neto José Carlos Costa Baptista-Silva Jorge Eduardo de Amorim Luis Carlos Uta Nakano Ronald Luiz Gomes Flumignan |
| author_facet | Gabriela Araújo Attie Carolina Dutra Queiroz Flumignan Melissa Andreia de Moraes Silva Edivando de Moura Barros Raul Muffato Daolio Henrique Jorge Guedes Neto José Carlos Costa Baptista-Silva Jorge Eduardo de Amorim Luis Carlos Uta Nakano Ronald Luiz Gomes Flumignan |
| author_sort | Gabriela Araújo Attie |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Ultrasonography is currently used in investigating many vascular diseases, especially for guiding vascular access. OBJECTIVE: The objective here was to summarize the evidence from Cochrane systematic reviews (SRs) on the effects of ultrasound-guided vascular access as an intervention approach. DESIGN AND SETTING: Review of SRs, conducted in the Division of Vascular and Endovascular Surgery of Universidade Federal de São Paulo. METHODS: A broad search was conducted in the Cochrane Database of Systematic Reviews to retrieve any Cochrane SRs that assessed the effects of ultrasound guidance as a therapeutic approach towards performing any vascular access. The key characteristics and results of all the reviews included were summarized and discussed. RESULTS: Three SRs on venous access at all ages and one review on arterial access in pediatric participants were included. There was low to moderate certainty of evidence that ultrasound increased the success rate from the first puncture and the overall success rate of the procedure; and reduced the total rate of perioperative and postoperative adverse events, number of punctures, time needed to achieve success and rate of failure to place catheters. CONCLUSION: Evidence of low to moderate quality showed that ultrasound-guided vascular access seems to reduce the total rate of perioperative and postoperative complications/adverse effects, number of punctures, time needed to achieve success and rate of failure to perform venous catheterization in adults and arterial punctures in children. There is a lack of information regarding ultrasound-guided arterial puncture in adults. Further studies are still imperative for reaching solid conclusions, especially regarding arterial ultrasound-guided access. |
| first_indexed | 2024-04-14T00:28:08Z |
| format | Article |
| id | doaj.art-29da8b30ed2e49bdbccbe0a1e19fb5c0 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-04-14T00:28:08Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-29da8b30ed2e49bdbccbe0a1e19fb5c02022-12-22T02:22:38ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460137328429110.1590/1516-3180.2019.0113070519S1516-31802019000300284What do Cochrane systematic reviews say about ultrasound-guided vascular access?Gabriela Araújo AttieCarolina Dutra Queiroz FlumignanMelissa Andreia de Moraes SilvaEdivando de Moura BarrosRaul Muffato DaolioHenrique Jorge Guedes NetoJosé Carlos Costa Baptista-SilvaJorge Eduardo de AmorimLuis Carlos Uta NakanoRonald Luiz Gomes FlumignanABSTRACT BACKGROUND: Ultrasonography is currently used in investigating many vascular diseases, especially for guiding vascular access. OBJECTIVE: The objective here was to summarize the evidence from Cochrane systematic reviews (SRs) on the effects of ultrasound-guided vascular access as an intervention approach. DESIGN AND SETTING: Review of SRs, conducted in the Division of Vascular and Endovascular Surgery of Universidade Federal de São Paulo. METHODS: A broad search was conducted in the Cochrane Database of Systematic Reviews to retrieve any Cochrane SRs that assessed the effects of ultrasound guidance as a therapeutic approach towards performing any vascular access. The key characteristics and results of all the reviews included were summarized and discussed. RESULTS: Three SRs on venous access at all ages and one review on arterial access in pediatric participants were included. There was low to moderate certainty of evidence that ultrasound increased the success rate from the first puncture and the overall success rate of the procedure; and reduced the total rate of perioperative and postoperative adverse events, number of punctures, time needed to achieve success and rate of failure to place catheters. CONCLUSION: Evidence of low to moderate quality showed that ultrasound-guided vascular access seems to reduce the total rate of perioperative and postoperative complications/adverse effects, number of punctures, time needed to achieve success and rate of failure to perform venous catheterization in adults and arterial punctures in children. There is a lack of information regarding ultrasound-guided arterial puncture in adults. Further studies are still imperative for reaching solid conclusions, especially regarding arterial ultrasound-guided access.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000300284&lng=en&tlng=enUltrasonographyPuncturesReviewEvidence-based medicineVascular access devices |
| spellingShingle | Gabriela Araújo Attie Carolina Dutra Queiroz Flumignan Melissa Andreia de Moraes Silva Edivando de Moura Barros Raul Muffato Daolio Henrique Jorge Guedes Neto José Carlos Costa Baptista-Silva Jorge Eduardo de Amorim Luis Carlos Uta Nakano Ronald Luiz Gomes Flumignan What do Cochrane systematic reviews say about ultrasound-guided vascular access? São Paulo Medical Journal Ultrasonography Punctures Review Evidence-based medicine Vascular access devices |
| title | What do Cochrane systematic reviews say about ultrasound-guided vascular access? |
| title_full | What do Cochrane systematic reviews say about ultrasound-guided vascular access? |
| title_fullStr | What do Cochrane systematic reviews say about ultrasound-guided vascular access? |
| title_full_unstemmed | What do Cochrane systematic reviews say about ultrasound-guided vascular access? |
| title_short | What do Cochrane systematic reviews say about ultrasound-guided vascular access? |
| title_sort | what do cochrane systematic reviews say about ultrasound guided vascular access |
| topic | Ultrasonography Punctures Review Evidence-based medicine Vascular access devices |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000300284&lng=en&tlng=en |
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