What do Cochrane systematic reviews say about ultrasound-guided vascular access?

Authors

Keywords:

Ultrasonography, Punctures, Review, Evidence-based medicine, Vascular access devices

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 sum-marized 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.

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Author Biographies

Gabriela Araújo Attie, Universidade Federal de São Paulo

Undergraduate Student Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil

Carolina Dutra Queiroz Flumignan, Universidade Federal de São Paulo

MD, PhD. Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Melissa Andreia de Moraes Silva, Hospital de Clínicas de Itajubá

MD. Researcher, Postgraduate Program on Interdisciplinary Surgical Science, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), and Division of Vascular and Endovascular Surgery, Hospital de Clínicas de Itajubá, Itajubá, MG, Brazil.

Edivando de Moura Barros, Universidade Federal de São Paulo

Undergraduate Student Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Raul Muffato Daolio, Universidade Federal de São Paulo

Undergraduate Student Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Henrique Jorge Guedes Neto, Universidade Federal de São Paulo

MD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

José Carlos Costa Baptista-Silva, Universidade Federal de São Paulo

MD, PhD. Full Professor and Chief, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil

Jorge Eduardo de Amorim, Universidade Federal de São Paulo

MD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Luis Carlos Uta Nakano, Universidade Federal de São Paulo

MD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Ronald Luiz Gomes Flumignan, Universidade Federal de São Paulo

MD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

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Published

2019-06-06

How to Cite

1.
Attie GA, Flumignan CDQ, Silva MA de M, Barros E de M, Daolio RM, Guedes Neto HJ, Baptista-Silva JCC, Amorim JE de, Nakano LCU, Flumignan RLG. What do Cochrane systematic reviews say about ultrasound-guided vascular access?. Sao Paulo Med J [Internet]. 2019 Jun. 6 [cited 2025 Mar. 9];137(3):284-91. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/896

Issue

Vol. 137 No. 3 (2019)

Section

Narrative Review

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