Hemodynamics, fluids & transfusion

Incidence of peripheral arterial catheter failure and complications in intensive care: a systematic review and meta‐analysis

AnaesthesiaPublished Systematic review and meta-analysis of randomised trials and cohort studies

Authors' conclusion

Arterial catheter failure occurs in up to one in five catheters in intensive care.

Study context

Population
Adults with arterial catheters in ICU
Participants
19,018 adults · 39 studies
Outcome
Incidence of arterial catheter-related complications and failure
Methodological detailsrandom-effects models, Freeman-Tukey double arcsine transformation, GRADE certainty assessment, Incidence density not calculable due to limited reporting of total catheter days
  • Random-effects models
  • Freeman-Tukey double arcsine transformation
  • GRADE certainty assessment
  • Incidence density not calculable due to limited reporting of total catheter days

Pooled result

As reported in the abstract

Arterial catheter failure

All-cause arterial catheter failure, pooled proportion

13.0%

95% CI 7.6–19.5%, moderate certainty

Non-infectious arterial catheter failure

19.8%

95% CI 12.2–28.7%, moderate certainty

Safety

All-cause catheter-associated or related bloodstream infections, pooled proportion
1.3% (95% CI 0.7-2.1%, moderate certainty)
Local infection
1.2% (95% CI 0.4-2.4%, high certainty)
  • Reporting of infection definitions limited

Original publication

Incidence of peripheral arterial catheter failure and complications in intensive care: a systematic review and meta‐analysis. Anaesthesia. Published 3 November 2025. doi:10.1111/anae.70074

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