pocuss引导外周静脉通路治疗静脉通路困难患者的结果：系统回顾和荟萃分析。

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-05-07 DOI:10.1002/jcu.24059

Hany A Zaki, Hussam Elmelliti, Benny Ponappan, Ahmed Shaban, Amira Shaban, Mohammed F Abosamak, Eman E Shaban

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引用次数: 0

摘要

护理点超声（POCUS）引导外周静脉（PIV）通道为静脉通道困难的患者提供了一种更安全、更有效的选择。对来自PubMed、Cochrane Library、MEDLINE、Web of Science和b谷歌Scholar等5个数据库的15项研究1485例患者的系统评价显示，POCUS显著提高了成功率（OR: 4.25），首次尝试成功率（OR: 5.31），减少了尝试次数（MD: -0.83），缩短了手术时间（MD: -9.75分钟）。与标准技术相比，POCUS观察到的并发症较少（OR: 0.49）。使用Review Manager进行统计分析，并使用Cochrane Risk of Bias和Newcastle Ottawa工具评估质量。研究结果支持POCUS是一种安全、省时的手术，可改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Outcomes of POCUS-Guided Peripheral Intravenous Access in Difficult Venous Access Patients: A Systematic Review and Meta-Analysis.

Point Of Care Ultrasound (POCUS) guided peripheral intravenous (PIV) access offers a safer and more efficient alternative for patients with difficult venous access. A systematic review of 15 studies with 1485 patients, sourced from five databases, including PubMed, Cochrane Library, MEDLINE, Web of Science, and Google Scholar, showed POCUS significantly improved success rates (OR: 4.25), first-attempt success (OR: 5.31), reduced attempts (MD: -0.83), and decreased procedure time (MD: -9.75 min). Fewer complications (OR: 0.49) observed with POCUS compared to standard techniques. Statistical analyses were conducted using Review Manager, and quality was assessed with Cochrane Risk of Bias and Newcastle Ottawa tools. Findings support POCUS as a safe, time-saving procedure for improving patient outcomes.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.