Vol. 4 No. 2 (2025): post-ICU pathways
Articles

Use of Ultrasound-Guided Nurse Technique for the Placement of Peripheral Venous Access in the Emergency Room Versus the Standard “Blind” Technique: a Systematic Review

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  • Simone Tersigni,
  • Antonio Brusini
Simone Tersigni
Emergency Department, Azienda Socio Sanitaria Territoriale di Cremona, Italy
Antonio Brusini
Sports Medicine, Azienda Unità Sanitaria Locale di Modena, Italy
DOI: https://doi.org/10.36253/if-3207

Published 2025-06-30

Keywords

  • Ultrasound,
  • Emergency Room,
  • Intravenous,
  • Vascular Access,
  • Peripheral

Copyright (c) 2025 Simone Tersigni, Antonio Brusini

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Introduction. In the Emergency Department, it is increasingly necessary to be able to find stable venous access when managing acute patients. This study aims to investigate the effectiveness of ultrasound-guided nursing compared to the standard “blind” technique.

Methods. A comprehensive literature search was undertaken using PubMed, Cochrane, and EMBASE. The results were then evaluated according to the JBI checklists.

Results. 9 studies are considered for this review. This review showed the effectiveness of the ultrasound-guided cannulation procedure (53-91.75%) compared to the standard blind technique. It also indicated a reduction in adverse events, a decrease in the number of attempts needed for successful cannulation (1-2.2 punctures), an increase in success on the first attempt (78.9-83%), greater user satisfaction with the ultrasound-guided technique, and reduced pain perception.

Discussions. The effectiveness of the ultrasound-guided cannulation procedure compared to the standard blind technique is aligned with the literature. The innovation of this review is the evaluation of nurse execution, time analysis, user satisfaction, reported pain, and the technique's success. 

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