Trial reportBMJ open2018
Ultrasound-guided versus landmark approach for peripheral intravenous access by critical care nurses: a randomised controlled study.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Contribution of Ultrasound for Peripheral Intravenous Catheter Placement by Intensive Care Nurses
Near-Infrared Light Devices Versus Landmark Approach for Peripheral Venous Access in Intensive Care Unit: A Randomized Controlled Study
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- The efficacy of ultrasound-guided peripheral intravenous cannulation versus the landmark technique in emergency department patients with difficult intravenous access: A systematic review and meta-analysis.The journal of vascular access · 2026Pooled it
- Outcomes of POCUS-Guided Peripheral Intravenous Access in Difficult Venous Access Patients: A Systematic Review and Meta-Analysis.Journal of clinical ultrasound : JCU · 2025Pooled it
- Ultrasound guidance versus landmark method for peripheral venous cannulation in adults.The Cochrane database of systematic reviews · 2022Pooled it
- Education in the placement of ultrasound-guided peripheral venous catheters: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Pooled it
- Ultrasound-assisted peripheral venous cannulation in patients undergoing elective surgery under general anaesthesia: prospective randomized trial.Anaesthesiology intensive therapy · 2025Trial
- Infrared Vein Imaging for Insertion of Peripheral Intravenous Catheter for Patients Requiring Isolation for Severe Acute Respiratory Syndrome Coronavirus 2 Infection: A Nonrandomized Clinical Trial.Journal of emergency nursing · 2022Trial
- Two different techniques of ultrasound-guided peripheral venous catheter placement versus the traditional approach in the pre-hospital emergency setting: a randomized study.Internal and emergency medicine · 2020Trial
- Post-insertion outcomes of ultrasound-guided versus landmark peripheral intravenous catheters: a systematic review and meta-analysis.The ultrasound journal · 2026Article
- Impact of Nurse-Performed Point-of-Care Ultrasound (PoCUS) in Adult Intensive Care: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Evaluation of a Portable Ultrasound System for Peripheral Intravenous Access: Performance and Safety in a Clinical Setting.Medical devices (Auckland, N.Z.) · 2026Article
- Article
- Article
- Ultrasonography in the intensive care unit: a bibliometrics analysis.Journal of thoracic disease · 2024Article
- [Ultrasound-guided peripheral venepuncture under poor venous conditions].Die Anaesthesiologie · 2023Article
- How I Teach: Ultrasound-guided Peripheral Venous Access.ATS scholar · 2022Article
- A concept analysis ofHRB open research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveEstablishing a peripheral intravenous catheter (PIVC) after a long intensive care unit (ICU) stay can be a challenge for nurses, as these patients may present vascular access issues. The aim of this study was to compare an ultrasound-guided method (UGM) versus the landmark method (LM) for the placement of a PIVC in ICU patients who no longer require a central intravenous catheter (CIVC).
designRandomised, controlled, prospective, open-label, single-centre study.
settingTertiary teaching hospital.
participants114 awake patients hospitalised in ICU fulfilling the following criteria: (1) with a central venous catheter that was no longer required, (2) needing a PIVC to replace the central venous catheter and (3) with no apparent or palpable veins on upper limbs after tourniquet placement.
interventionPlacement of a PIVC using an UGM. PRIMARY OUTCOME: Number of attempts for the establishment of a PIVC in the upper limbs.
results57 patients were respectively included in both the UGM group and LM group. Stasis oedema in the upper limbs was the main cause of poor venous access identified in 80% of patients. Both the number of attempts (2 (1-4), p=0.911) and catheter lifespan ((3 (1-3) days and 3 (2-3) days, p=0.719) were similar between the two groups. Catheters in the UGM group tended to be larger (p=0.059) and be associated with increased extravasation (p=0.094).
conclusionIn ICU patients who no longer require a CIVC, use of an UGM for the establishment of a PIVC is not associated with a reduction in the number of attempts compared with LM. TRIAL REGISTRATION NUMBER: NCT02285712; Results.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.