Low certainty evidence supports that US-guided method improves both overall success rates and patient satisfaction. There is moderate certainty evidence that US-guided method does not reduce the time spent in SPC insertion. Moderate certainty evidence supports the positive effect of US-guided method on first-attempt success rate and number of attempts. Twelve systematic reviews with a range of 75–1860 patients were included. The quality of evidence per association was assessed using the GRADE criteria and was stablished as high, moderate, low and very low. Methodological quality was assessed with AMSTAR-2 tool. Previous systematic reviews and meta-analyses were systematically searched in MEDLINE, EMBASE, Web of Science and Cochrane Library. MethodsĪn umbrella review addressing the comparison between US-guided versus traditional method for SPC insertion in which only systematic reviews of all comparative study designs were eligible was carried out. This umbrella review aims to synthesize the available evidence comparing the US-guided method with the traditional method on SPC insertion in terms of effectiveness, safety and patient satisfaction. Short peripheral catheters (SPC) insertion technique has a high failure rate, one of the reasons why the ultrasound (US)-guided method has been proposed as a valid alternative to traditional technique in SPC insertion.
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