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. 2003 Aug 16;327(7411):361. doi: 10.1136/bmj.327.7411.361

Table 2.

Summary of significance of outcome measures for two dimensional (2-D) ultrasound guidance compared with landmark method for catheterisation

Internal jugular vein
Subclavian vein
Femoral vein
No of placements
No of placements
No of placements
Variable 2-D ultrasound guidance Landmark method Effect size (95% CI) P value 2-D ultrasound guidance Landmark method Effect size (95% CI) P value Doppler ultrasound guidance Landmark method Effect size (95% CI) P value
Adults
Relative risk:
Failed catheter placement 296 312 0.14 (0.06 to 0.33) <0.0001 25 27 0.14 (0.04 to 0.57) 0.006 20 20 0.29 (0.07 to 1.21) 0.09
Complication with placement 284 295 0.43 (0.22 to 0.87) 0.02 25 27 0.10 (0.01 to 0.71) 0.02 NA NA
Failure on first attempt 162 179 0.59 (0.39 to 0.88) 0.009 NA NA NA NA
Mean No:
Attempts to successful catheterisation 131 136 −1.50 (−2.53 to −0.47) 0.004 NA NA 20 20 −2.70 (−5.26 to −0.14) 0.04
Seconds to successful catheterisation 180 192 −69.33 (−92.36 to −46.31) <0.0001 NA NA 20 20 −3.20 (−43.27 to 36.87) 0.9
Infants
Relative risk:
Failed placement 79 88 0.15 (0.03 to 0.64) 0.01 NA NA NA NA
Complication with placement 79 88 0.27 (0.08 to 0.91) 0.03 NA NA NA NA
Failure on first attempt NA NA NA NA NA NA
Mean No:
Attempts to successful catheterisation 43 52 −2.00 (−2.78 to −1.22) <0.0001 NA NA NA NA
Seconds to successful catheterisation 59 68 −349.38 (−801.89 to 103.13) 0.13 NA NA NA NA

NA=not available. All outcomes favoured ultrasound guidance (relative risk <1).