Ultrasound-guided peripheral intravenous canulation by emergency nurses: A systematic review and meta-analysis Álvarez-Morales, Lorena Gómez Urquiza, Jose Luis Suleiman Martos, Nora Membrive Jiménez, María José González Díaz, Ana García Pérez, Raquel Liñán González, Antonio Peripheral intravenous catheter Ultrasound Ultrasound guidance Emergency department Emergency nursing Peripheral intravenous cannulation Background: Peripheral intravenous cannulation is a common procedure in the emergency department. Nevertheless, failure rates during the first attempt are as high as 40% in adults and 65% in children. Evidence suggests that physician performed ultrasound-guided peripheral intravenous cannulation (USG-PIVC) is an effective alternative to the traditional method; however, there is insufficient data on the efficacy of the technique performed by nurses. Objective: To examine the efficacy of the USG-PIVC technique performed by emergency department nurses. Methods: A literature review with meta-analysis was performed. The databases used were PubMed, Scopus and CINAHL. The search was conducted in March 2023. Two meta-analysis one of clinical trials about the effectiveness and one about the succession rate were performed. Results: 20 studies were selected and analysed. The studies showed that USGPIVC performed by emergency nurses increased the probability of both the overall success and a successful first attempt compared to the standard technique. In addition, patients showed high satisfaction and lower complication rates. However, the procedure had no significant effect on the time or number of attempts required. A lower probability of success was obtained as regards peripheral intravenous cannulation when the standard technique was used, OR =0.42 (95 %CI 0.25–0.70p < 0,05). Conclusions: Ultrasound-guided peripheral intravenous cannulation performed by emergency nurses is a safe and effective technique 2024-03-05T07:54:17Z 2024-03-05T07:54:17Z 2024-03 journal article Álvarez-Morales L, Gómez-Urquiza JL, Suleiman-Martos N, Membrive-Jiménez MJ, González-Díaz A, García Pérez R, Liñán-Gonzalez A. Ultrasound-guided peripheral intravenous canulation by emergency nurses: A systematic review and meta-analysis. Int Emerg Nurs. 2024 Feb 22;73:101422. https://doi.org/10.1016/j.ienj.2024.101422 https://hdl.handle.net/10481/89785 10.1016/j.ienj.2024.101422 eng http://creativecommons.org/licenses/by-nc-nd/3.0/ open access Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License Elsevier