Intraosseous versus intravenous access while wearing personal protective equipment: a meta-analysis in the era of COVID-19.
Kardiol Pol
; 79(3): 277-286, 2021 03 25.
Article
in English
| MEDLINE | ID: covidwho-1204474
ABSTRACT
BACKGROUND:
Obtaining vascular access is one of the key procedures performed in patients in emergency settings.AIMS:
The study was conducted as a metaanalysis and a systematic review and aimed to address the following question which intravascular access method should be used in patients with COVID19 when wearing full personal protective equipment (PPE)?METHODS:
We performed a systematic search of PubMed, EMBASE, and CENTRAL databases for randomized controlled trials that compared intravascular access methods used by operators wearing full level C PPE. We evaluated procedure duration and the success rate of intraosseous and peripheral intravenous accesses.RESULTS:
Eight randomized controlled trials were included in quantitative synthesis. The use of PPE during intravascular access procedures had an impact on procedure duration in the case of intraosseous access (mean difference [MD], 11.69; 95% CI, 6.47-16.92; P <0.001), as well as reduced the success rate of intraosseous access by 0.8% and intravenous access by 10.1%. Under PPE conditions, intraosseous access, compared with peripheral intravenous access, offered a shorter procedure time (MD, -41.43; 95% CI, -62.36 to -24.47; P <0.001).CONCLUSION:
This comprehensive metaanalysis suggested that the use of PPE significantly extends the duration of intravascular procedures. However, under PPE conditions, operators were able to obtain intraosseous access in a shorter time and with a higher success rate than in the case of intravenous access.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Infusions, Intravenous
/
Infusions, Intraosseous
/
Personal Protective Equipment
Type of study:
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Humans
Language:
English
Journal:
Kardiol Pol
Year:
2021
Document Type:
Article
Affiliation country:
Kp.15741
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