Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

23 questions · 23 findings · 2 reviews · Emergency and Critical Care · Headline outcomes only

No studies found 0 · 0%GRADE not reported 0 · 0%Very low 3 · 13%Low 5 · 21.7%Moderate 8 · 34.8%High 7 · 30.4%

Femoral vs subclavian insertion: short‐term catheterization

Immediate mechanical complications ‐ Total mechanical complications · critically ill patients

Femoral showed no clear difference in immediate mechanical complications ‐ Total mechanical complications compared with subclavian insertion: short‐term catheterization (high certainty).

1 finding from 1 review

Femoral vs subclavian insertion: short‐term catheterization

Immediate mechanical complications ‐ Major mechanical complications · critically ill patients

Femoral showed no clear difference in immediate mechanical complications ‐ Major mechanical complications compared with subclavian insertion: short‐term catheterization (high certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Catheter‐related infectious complications ‐ Catheter colonization · critically ill patients who were expected to require support with renal replacement therapy

Femoral showed no clear difference in catheter‐related infectious complications ‐ Catheter colonization compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Catheter‐related blood stream infection · critically ill patients who were expected to require support with renal replacement therapy

Femoral showed no clear difference in catheter‐related infectious complications ‐ Catheter related… compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Catheter‐related infectious complication ‐ Subgroup Analysis for the effect of BMI on catheter colonization ‐ Highest BMI tercile (>28.4) · critically ill patients who were expected to require support with renal replacement therapy

Femoral probably leads to higher catheter‐related infectious complication ‐ Subgroup Analysis for the… compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Catheter‐related thrombotic complications ‐ Symptomatic deep venous thrombosis · critically ill patients who were expected to require support with renal replacement therapy

Femoral showed no clear difference in catheter‐related thrombotic complications ‐ Symptomatic deep venous… compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Catheter‐related thrombosis at any time during catheter stay · critically ill patients who were expected to require support with renal replacement therapy

Femoral showed no clear difference in catheter‐related thrombotic complications ‐ Catheter related… compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Immediate mechanical complications ‐ Total mechanical complications · critically ill patients who were expected to require support with renal replacement therapy

Femoral probably leads to lower immediate mechanical complications ‐ Total mechanical complications compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs internal jugular insertion: short‐term catheterization

Immediate mechanical complications ‐ Major mechanical complications · critically ill patients who were expected to require support with renal replacement therapy

Femoral showed no clear difference in immediate mechanical complications ‐ Major mechanical complications compared with internal jugular insertion: short‐term catheterization (moderate certainty).

1 finding from 1 review

Femoral vs subclavian insertion: short‐term catheterization

Catheter‐related infectious complications ‐ Catheter colonization · critically ill patients

Femoral leads to higher catheter‐related infectious complications ‐ Catheter colonization compared with subclavian insertion: short‐term catheterization (high certainty).

1 finding from 1 review

Femoral vs subclavian insertion: short‐term catheterization

Catheter‐related blood stream infection · critically ill patients

Femoral showed no clear difference in catheter‐related infectious complications ‐ Catheter‐related… compared with subclavian insertion: short‐term catheterization (high certainty).

1 finding from 1 review

Ultrasound guidance vs anatomical landmarks

Other complications (thrombosis, embolism, haematomediastinum and hydromediastinum, haematothorax and hydrothorax, pneumothorax, subcutaneous emphysema, nerve injury) · patients with femoral vein cannulation for central vein catheterization

Ultrasound guidance showed no clear difference in other complications (thrombosis, embolism, haematomediastinum and… compared with anatomical landmarks (low certainty).

1 finding from 1 review

Ultrasound or Doppler guidance vs anatomical landmarks

Complication rate total · patients with the need for subclavian vein cannulation for central vein catheterization

It is very uncertain whether ultrasound or Doppler guidance changes complication rate total compared with anatomical landmark (very low certainty).

1 finding from 1 review

Ultrasound or Doppler guidance vs anatomical landmarks

Overall success rate · patients with the need for subclavian vein cannulation for central vein catheterization

Ultrasound or Doppler guidance showed no clear difference in overall success rate compared with anatomical landmark (low certainty).

1 finding from 1 review