Pediatric anesthesia & critical care
Ultrasound-guided short-axis out-of-plane approach with or without dynamic needle tip positioning for arterial line insertion in children: A systematic review with network meta-analysis
Study context
- Population
- Children undergoing arterial line insertion8 RCTs
- Comparison
- Ultrasound-guided short-axis out-of-plane (SA-OOP) approach with dynamic needle tip positioning (DNTP) vs without DNTP vs palpation
- Outcome
- First-attempt and overall success rates of arterial line insertion
Methodological detailsSearched MEDLINE (via PubMed) and the Cochrane Central Register of Controlled Trials
- Searched MEDLINE (via PubMed) and the Cochrane Central Register of Controlled Trials
Pooled result
As reported in the abstract
First-attempt and overall success rates
Estimate (95% CI)
SA-OOP with DNTP vs Palpation
RR for first-attempt success 3.45(2.51–4.74)
SA-OOP with DNTP vs Palpation
RR for overall success 1.81(1.41–2.32)
SA-OOP without DNTP vs Palpation
RR for first-attempt success 1.96(1.59–2.42)
SA-OOP without DNTP vs Palpation
RR for overall success 1.25(1.05–1.49)
SA-OOP with DNTP vs SA-OOP without DNTP
RR for first-attempt success 1.76(1.26–2.44)
SA-OOP with DNTP vs SA-OOP without DNTP
RR for overall success 1.45(1.10–1.91)
Original publication
Ultrasound-guided short-axis out-of-plane approach with or without dynamic needle tip positioning for arterial line insertion in children: A systematic review with network meta-analysis. Anaesth Crit Care Pain Med. Published 28 February 2023. doi:10.
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