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

Table 3.

Summary of significance of outcome measures for Doppler 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 Doppler ultrasound guidance Landmark method Effect size (95% CI) P value Doppler 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 86 99 0.39 (0.17 to 0.92) 0.03 310 314 1.48 (1.03 to 2.14)* 0.03* NA NA
Complication with placement 89 89 0.43 (0.17 to 1.05) 0.06 262 264 0.57 (0.11 to 2.88) 0.5 NA NA
Failure on first attempt 52 64 0.57 (0.37 to 0.88) 0.01 143 143 1.04 (0.76 to 1.43)* 0.8* NA NA
Mean No:
Attempts to successful catheterisation 34 35 −0.59 (−1.82 to 0.65) 0.4 48 50 −0.4 (−0.61 to −0.19) 0.0002 NA NA
Seconds to successful catheterisation 86 99 34.86 (−54.49 to 124.21)* 0.4* 48 50 209.00 (175.48 to 242.52)* <0.0001* NA NA
Infants
No of failed catheter placements 13 16 1.23 (0.30 to 5.11)* 0.8* NA NA NA NA
No of complications from placement 13 16 0.82 (0.16 to 4.20) 0.8 NA NA NA NA
Risk of failure on first attempt NA NA NA NA NA NA
Mean No of attempts to successful catheterisation NA NA NA NA NA NA
Mean No of seconds to successful catheterisation 13 16 138.00 (−114.72 to 390.72)* 0.3* NA NA NA NA

NA=not available. Relative risks <1 favour Doppler ultrasound guidance.

*

Outcome favours landmark method.