Cochrane · systematic review · CD013585
Ultrasound guidance for arterial (other than femoral) catheterisation in adults
Flumignan, RLG, Trevisani, VFM, Lopes, RD, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
70
current version
GRADE rated
37
No studies
33
Included studies
NR
No studies 33 · 47.1%Ungraded 0 · 0%Very low 21 · 30%Low 12 · 17.1%Moderate 4 · 5.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
[Axillary] B‐mode ultrasound guidance compared to palpation and landmarks for arterial (other than femoral) catheterisation in adults
Population: adults requiring axillary artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
Pseudoaneurysm [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
Overall success rate [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | RR 1.35 [0.99, 1.86] | 1 study · 33 participants | Very low Downgraded: risk of bias |
Time needed for a successful procedure [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | 1 study · 33 participants | Very low Downgraded: risk of bias |
Major haematoma [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | RR 0.83 [0.06, 12.22] | 1 study · 33 participants | Very low Downgraded: risk of bias |
Adverse events (pain) [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
Quality of life [Axillary] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
[Dorsalis pedis] B‐mode ultrasound guidance compared to palpation and landmarks for arterial (other than femoral) catheterisation in adults
Population: adults requiring dorsalis pedis artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | RR 1.28 [0.9, 1.82] | 1 study · 60 participants | Very low Downgraded: risk of bias |
Pseudoaneurysm [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
Overall success rate [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | RR 1 [0.91, 1.1] | 1 study · 60 participants | Very low Downgraded: risk of bias |
Time needed for a successful procedure [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias |
Major haematoma [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
Adverse events (pain) [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
Quality of life [Dorsalis pedis] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | NR | No studies |
[Radial] B‐mode ultrasound guidance compared to palpation and landmarks for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] B‐mode ultrasound guidance vs palpation and landmarks | RR 1.44 [1.29, 1.61] | 27 studies · 4708 participants | Low Downgraded: risk of bias |
Pseudomaneurysm [Radial] B‐mode ultrasound guidance vs palpation and landmarks | RR 2.89 [0.12, 70.63] | 1 study · 679 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Overall success rate [Radial] B‐mode ultrasound guidance vs palpation and landmarks | RR 1.11 [1.06, 1.16] | 28 studies · 4955 participants | Low Downgraded: risk of bias |
Time needed for a successful procedure [Radial] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | 26 studies · 4902 participants | Low Downgraded: risk of bias |
Major haematoma [Radial] B‐mode ultrasound guidance vs palpation and landmarks | RR 0.35 [0.23, 0.56] | 16 studies · 2504 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Adverse events (pain) [Radial] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | 4 studies · 883 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Quality of life (satisfaction) [Radial] B‐mode ultrasound guidance vs palpation and landmarks | no estimate extracted | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
[Radial] B‐mode ultrasound compared to Doppler assistance for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] B‐mode ultrasound vs Doppler assistance | RR 1.35 [1.11, 1.64] | 1 study · 493 participants | Moderate Downgraded: risk of bias |
Pseudoaneurysm [Radial] B‐mode ultrasound vs Doppler assistance | no estimate extracted | NR | No studies |
Overall success rate [Radial] B‐mode ultrasound vs Doppler assistance | RR 1.13 [0.99, 1.29] | 1 study · 493 participants | Low Downgraded: risk of bias |
Time needed for a successful procedure [Radial] B‐mode ultrasound vs Doppler assistance | no estimate extracted | 1 study · 493 participants | Moderate Downgraded: risk of bias |
Major haematoma [Radial] B‐mode ultrasound vs Doppler assistance | no estimate extracted | NR | No studies |
Adverse events (pain) [Radial] B‐mode ultrasound vs Doppler assistance | no estimate extracted | NR | No studies |
Quality of life [Radial] B‐mode ultrasound vs Doppler assistance | no estimate extracted | NR | No studies |
[Radial] B‐mode ultrasound compared to near‐infrared laser guidance for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] B‐mode ultrasound vs near‐infrared laser guidance | RR 1.33 [0.82, 2.16] | 1 study · 72 participants | Very low Downgraded: imprecision |
Pseudoaneurysm [Radial] B‐mode ultrasound vs near‐infrared laser guidance | no estimate extracted | NR | No studies |
Overall success rate [Radial] B‐mode ultrasound vs near‐infrared laser guidance | RR 1.5 [0.27, 8.45] | 1 study · 72 participants | Very low Downgraded: imprecision |
Time needed for a successful procedure [Radial] B‐mode ultrasound vs near‐infrared laser guidance | no estimate extracted | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Major haematoma [Radial] B‐mode ultrasound vs near‐infrared laser guidance | no estimate extracted | NR | No studies |
Adverse events (pain) [Radial] B‐mode ultrasound vs near‐infrared laser guidance | no estimate extracted | NR | No studies |
Quality of life [Radial] B‐mode ultrasound vs near‐infrared laser guidance | no estimate extracted | NR | No studies |
[Radial] B‐mode ultrasound compared to modified B‐mode ultrasound for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | RR 0.68 [0.55, 0.84] | 2 studies · 153 participants | Low Downgraded: risk of bias |
Pseudoaneurysm [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | no estimate extracted | NR | No studies |
Overall success rate [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | RR 0.93 [0.86, 1.01] | 2 studies · 153 participants | Low Downgraded: risk of bias |
Time needed for a successful procedure [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | no estimate extracted | 2 studies · 153 participants | Low Downgraded: risk of bias |
Major haematoma [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | RR 3.23 [1.37, 7.6] | 2 studies · 153 participants | Very low Downgraded: risk of bias |
Adverse events (pain) [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | no estimate extracted | NR | No studies |
Quality of life [Radial] B‐mode ultrasound vs modified B‐mode ultrasound | no estimate extracted | NR | No studies |
[Radial] In‐plane B‐mode ultrasound compared to out‐of‐plane B‐mode ultrasound for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | RR 0.85 [0.65, 1.12] | 8 studies · 1051 participants | Very low Downgraded: risk of bias |
Pseudoaneurysm [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Overall success rate [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | RR 1 [0.96, 1.05] | 8 studies · 1051 participants | Low Downgraded: risk of bias |
Time needed for a successful procedure [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | no estimate extracted | 9 studies · 1134 participants | Low Downgraded: risk of bias |
Major haematoma [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | RR 0.49 [0.22, 1.08] | 9 studies · 1159 participants | Very low Downgraded: risk of bias |
Adverse events (pain) [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Quality of life [Radial] In‐plane B‐mode ultrasound vs out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
[Radial] Doppler assistance compared to palpation and landmarks for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] Doppler assistance vs palpation and landmarks | RR 1.01 [0.9, 1.14] | 2 studies · 666 participants | Low Downgraded: risk of bias |
Pseudoaneurysm [Radial] Doppler assistance vs palpation and landmarks | no estimate extracted | NR | No studies |
Overall success rate [Radial] Doppler assistance vs palpation and landmarks | RR 0.99 [0.92, 1.07] | 2 studies · 666 participants | Low Downgraded: risk of bias |
Time needed for a successful procedure [Radial] Doppler assistance vs palpation and landmarks | no estimate extracted | 1 study · 500 participants | Moderate Downgraded: risk of bias |
Major haematoma [Radial] Doppler assistance vs palpation and landmarks | no estimate extracted | NR | No studies |
Adverse events (pain) [Radial] Doppler assistance vs palpation and landmarks | no estimate extracted | NR | No studies |
Quality of life [Radial] Doppler assistance vs palpation and landmarks | no estimate extracted | NR | No studies |
[Radial] Dynamic out‐of‐plane B‐mode ultrasound compared to static out‐of‐plane B‐mode ultrasound for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | RR 0.91 [0.67, 1.23] | 1 study · 131 participants | Very low Downgraded: risk of bias |
Pseudoaneurysm [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Overall success rate [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | RR 1.07 [0.92, 1.25] | 1 study · 131 participants | Very low Downgraded: risk of bias |
Time needed for a successful procedure [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | no estimate extracted | 1 study · 131 participants | Very low Downgraded: risk of bias |
Major haematoma [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Adverse events (pain) [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Quality of life [Radial] Dynamic out‐of‐plane B‐mode ultrasound vs static out‐of‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
[Radial] Oblique‐axis in‐plane B‐mode ultrasound compared to long‐axis in‐plane B‐mode ultrasound for arterial (other than femoral) catheterisation in adults
Population: adults requiring radial artery catheterisation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
First‐attempt success rate [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | RR 1.11 [0.44, 2.79] | 3 studies · 275 participants | Very low Downgraded: risk of bias |
Pseudoaneurysm [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Overall success rate [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | RR 1.27 [1.05, 1.53] | 2 studies · 215 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Time needed for a successful procedure [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | no estimate extracted | 3 studies · 275 participants | Very low Downgraded: risk of bias |
Major haematoma [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | RR 0.68 [0.32, 1.47] | 2 studies · 215 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events (pain) [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |
Quality of life [Radial] Oblique‐axis in‐plane B‐mode ultrasound vs long‐axis in‐plane B‐mode ultrasound | no estimate extracted | NR | No studies |