Pediatric anesthesia & critical care

Ultrasound-Guided Short-Axis Out-of-Plane Approach With or Without Dynamic Needle-Tip Positioning for Peripheral Venous Catheterization in Pediatric Patients: A Systematic Review With Network Meta-Analysis

J Cardiothorac Vasc AnesthPublished Systematic review and network meta-analysis of randomised trials

Authors' conclusion

Dynamic needle-tip positioning is efficacious for peripheral venous catheterization in children.

Study context

Population
Patients <18 years undergoing peripheral venous catheter insertion8 studies
Comparison
US-guided short-axis out-of-plane approach with vs without dynamic needle-tip positioning vs palpation
Outcome
First-attempt and overall success rates

Pooled result

As reported in the abstract

First-attempt and overall success rates (network estimates)
Each group vs palpationEstimate (95% CI)
DNTP
RR for first-attempt success 1.67(1.33–2.09)
DNTP
RR for overall success 1.25(1.08–1.44)
Without DNTP
RR for first-attempt success 1.17(0.91–1.49)
Without DNTP
RR for overall success 1.10(0.90–1.33)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Ultrasound-Guided Short-Axis Out-of-Plane Approach With or Without Dynamic Needle-Tip Positioning for Peripheral Venous Catheterization in Pediatric Patients: A Systematic Review With Network Meta-Analysis. J Cardiothorac Vasc Anesth. Published 5 May 2023. doi:10.1053/j.jvca.2023.04.039

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