Journal
JOURNAL OF CLINICAL MEDICINE
Volume 11, Issue 21, Pages -Publisher
MDPI
DOI: 10.3390/jcm11216539
Keywords
ultrasound; dynamic needle-tip positioning; arterial catheterization; palpation
Categories
Funding
- Jinling Hospital Project [YYZD2021008]
Ask authors/readers for more resources
Based on the meta-analysis, dynamic needle-tip positioning (DNTP) was found to be more effective than conventional palpation and ultrasound methods in arterial cannulation. DNTP achieved higher success rates and reduced cannulation time, while also reducing the risk of complications. These benefits were particularly pronounced in small children and infants.
Background: Dynamic needle-tip positioning (DNTP) was shown to improve arterial cannulation efficiency with fewer complications than conventional palpation and ultrasound methods by some studies. However, this is still controversial, and we performed this meta-analysis to comprehensively assess its value in arterial cannulation. Methods: A literature search of randomized controlled trials was conducted, and 11 studies were finally included. Efficiency outcomes (first-attempt success, overall success, and total cannulation time) and complications (hematoma, thrombosis, posterior wall puncture, and vasospasm) were separately analyzed. Subgroup analyses in different populations under cannulation were also performed. Results: DNTP was associated with increased first-attempt success (pooled RR = 1.792, p < 0.001), overall success (pooled RR = 1.368, p = 0.001), and decreased cannulation time (pooled SMD = -1.758, p = 0.001) than palpation. DNTP gained even more advantage in small children and infants. No significant difference in these outcomes between DNTP and conventional ultrasound method was detected. Fewer hematoma occurred in DNTP than palpation (pooled RR = 0.265, p < 0.001) or traditional ultrasound (pooled RR = 0.348, p < 0.001). DNPT was also associated with fewer posterior wall punctures (pooled RR = 0.495, p = 0.001) and vasospasm (pooled RR = 0.267, p = 0.007) than traditional ultrasound. Conclusions: DNTP was a better choice in artery cannulation than conventional palpation and ultrasound method, especially in small children and infants.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available