GuidelineAnaesthesia2025
Association of Anaesthetists guidelines: safe vascular access 2025.
Guideline in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Point-of-care ultrasound for central venous catheter confirmation and complications in the emergency department: A systematic review and meta-analysis.The Journal of international medical research · 2026Pooled it
- Central venous catheter tip position and risk of mechanical complications: a systematic review and meta-analysis.Journal of anesthesia · 2026Review
- Real-time ultrasound guidance for central venous access: a reply.Anaesthesia · 2026Article
- Real-time ultrasound guidance for central venous access.Anaesthesia · 2026Article
- A Systematic Review and Meta-Analysis of Prophylactic Anticoagulation for the Prevention of Catheter-Related Thrombosis in Adult Cancer Patients with Long-Term Central Venous Catheters: Current Evidence, Clinical Uncertainties and Future Directions.Journal of clinical medicine · 2026Review
- Preemptive Low-Dose Norepinephrine Infusion for Reducing Hemodynamic Instability During Craniotomy for Brain Tumor Resection Under Propofol-Remifentanil Total Intravenous Anesthesia: A Randomized Controlled Trial.Journal of clinical medicine · 2026Article
- Diagnostic Performance of Multimodal Large Language Models for Central Venous Catheter Assessment Chest Radiographs in the Intensive Care Unit.Medical sciences (Basel, Switzerland) · 2026Article
- Catheter ablation of premature ventricular contractions using an alternative vascular access and remote magnetic navigation (ARM) approach.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026Article
- Ultrasound vessel sizing before cannulation: a measurement-first approach for anesthesiologists.Journal of anesthesia, analgesia and critical care · 2026Review
- Inadvertent guidewire retention after radial artery cannulation: report of two cases and safety lessons for vascular access practice.Patient safety in surgery · 2026Article
- A Novel Modified Ultrasound-Guided Venipuncture Technique for Non-Tunneled PICC Insertion in a Non-Operating Room Anesthesia (NORA) Setting: A Technical Report with Real-World Experience.Journal of clinical medicine · 2026Article
- Associations of Patient Morphology and Venous Anatomy with Early Changes in Upper-Extremity Venous Blood Flow Following PICC Placement in Patients with Cancer: A Prospective Cohort Study.Vascular health and risk management · 2026Article
- Pragmatic risk-mitigation strategies for aseptic internal jugular vein cannulation in resource-limited emergency settings.Indian journal of anaesthesia · 2026Article
- Ultrasound-Guided, Guidewire-Assisted Long Peripheral Catheter in the Great Saphenous Vein for Bilateral Upper Limb Fracture Surgery: A Case Report.Case reports in anesthesiology · 2026Article
- Complications of tunneled central venous catheter placement: a narrative review of risks, prevention, and management strategies.Frontiers in radiology · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSafe vascular access is integral to anaesthetic and critical care practice. However, despite technological and procedural advances, it remains a frequent source of adverse events and patient harm. Ensuring a safe and effective approach to the selection, insertion and care of vascular access devices should be a priority for all practitioners.
methodsThis updated consensus statement builds upon previous iterations of safe vascular access guidelines. An expert, multidisciplinary, multi-society working party agreed on major themes and conducted a review of literature and best practice to build a comprehensive body of work. This was followed by a two-round Delphi process to agree on specific recommendations and to inform these concise guidelines.
resultsWe agreed successfully 15 recommendations encompassing operational, training and clinical issues with an emphasis on a holistic approach to vascular access and long-term vessel health. These recommendations were divided into six major themes, covering: process (vascular access teams and responsiveness key performance indicators); device selection; insertion, including the use of safety standards, ultrasound, catheter tip position and vein/catheter ratios; the management of anticoagulation therapy, catheter-related thrombosis and coagulopathies; specific patient groups, including patients requiring renal replacement therapy, following mastectomy and axillary lymph node resection and the use of peripheral vasoconstrictors; and training in advanced vascular access. DISCUSSION: It is hoped that these guidelines, together with the larger body of work, will improve the care of patients who require vascular access, embed a more holistic approach to vascular access and lifetime vein preservation, and support staff and hospitals with vascular access service development.
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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.