Effectiveness of ultrasonography- guided peripheral venous access: an integrative review
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Abstract
Objective: This study aims to identify the found evidence in the literature on the effectiveness of ultrasound technology for success in venipuncture compared to the traditional method for puncture.Method: An integrative review of literature in Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) – (Latin American and Caribbean Health Sciences) - and Publicações Médicas (PubMed) – (Medical publications) databases was made from January 2009 to February 2015. Publications in Portuguese, English, or Spanish were included addressing the objectives and/or the research question in the title or abstract and that used systematic reviews, clinical essays, or observational studies as methodology.
Results: Sixteen publications were reviewed presenting a high level of evidence that reinforce the effectiveness of ultrasound for peripheral venipuncture difficult. There was reduction of number of puncture attempts when using ultrasound. The success rate with the use of ultrasound ranged from 70 to 99% and varied with demographic characteristics (sex, age, and skin color), clinical characteristics (diameter and depth of the vein,) and operational characteristics (choice of catheter and skill of the professional performing the procedure).
Conclusion: Ultrasound can increase the success of this procedure, requiring yet more evidence as to the spent time and number of essays for success. The operator ability of the ultrasound equipment as well as clinical, technical, and operational characteristics showed up important factors to be considered for a more effective and safe venipuncture.
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References
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