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Ultrasound-guided vascular access improves patient outcomes by reducing complications associated with traditional landmark-based punctures. This review focuses on evidence-based recommendations for peripheral vascular access using ultrasound (US).

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Area of Science:

  • Vascular Surgery
  • Medical Imaging
  • Interventional Ultrasound

Background:

  • Traditional peripheral vascular access relies on anatomical landmarks, leading to variable success rates.
  • Patient anatomy, vessel pathology, and operator skill significantly impact the failure rate and complication risk of landmark-based procedures.
  • Recent guidelines offer evidence-based recommendations for improving vascular access techniques.

Purpose of the Study:

  • To review evidence-based recommendations for ultrasound (US)-guided peripheral vascular access.
  • To provide a clinical practice perspective on the application of Interventional Ultrasound (INVUS) guidelines.
  • To highlight the benefits of US-guided techniques over traditional methods for peripheral access.

Main Methods:

  • Review of recently published evidence-based recommendations within the EFSUMB INVUS framework.
  • Focus on peripheral venous and arterial access procedures.
  • Clinical practice evaluation of guideline applicability.

Main Results:

  • Ultrasound guidance offers a more reliable and safer approach to peripheral vascular access compared to landmark-based methods.
  • Standardized US-guided techniques can mitigate risks associated with individual patient anatomy and operator variability.
  • The review synthesizes current best practices for US-guided peripheral vascular access.

Conclusions:

  • Ultrasound-guided vascular access is recommended for peripheral procedures to enhance safety and efficacy.
  • Adherence to evidence-based guidelines improves patient outcomes and reduces procedural complications.
  • This review provides practical insights for clinicians implementing US-guided peripheral vascular access.