{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T06:38:37Z","timestamp":1793255917574,"version":"4.5.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Crit Care"],"DOI":"10.1186\/s13054-026-05869-2","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T10:44:54Z","timestamp":1769769894000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy and safety of ultrasound-guided infraclavicular axillary vein cannulation for centrally inserted central catheter placement in critically ill patients: systematic review with meta-analysis and trial sequential analysis"],"prefix":"10.1186","volume":"30","author":[{"given":"Tomasz","family":"Kr\u00f3licki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz","family":"Zawadka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Lis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Kr\u00f3licka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryszard","family":"Gawda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Czarnik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"issue":"1","key":"5869_CR1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-020-00713-4","volume":"10","author":"JF Timsit","year":"2020","unstructured":"Timsit JF, Baleine J, Bernard L, Calvino-Gunther S, Darmon M, Dellamonica J, et al. Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Ann Intensive Care. 2020;10(1):118. https:\/\/doi.org\/10.1186\/s13613-020-00713-4.","journal-title":"Ann Intensive Care"},{"key":"5869_CR2","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1016\/j.bja.2022.08.036","volume":"129","author":"M Adrian","year":"2022","unstructured":"Adrian M, Borgquist O, Kr\u00f6ger T, Linn\u00e9 E, Bentzer P, Sp\u00e5ngfors M, et al. Mechanical complications after central venous catheterisation in the ultrasound-guided era: a prospective multicentre cohort study. Br J Anaesth. 2022;129:843\u201350. https:\/\/doi.org\/10.1016\/j.bja.2022.08.036.","journal-title":"Br J Anaesth"},{"key":"5869_CR3","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.echo.2024.12.004","volume":"38","author":"A Vegas","year":"2025","unstructured":"Vegas A, Wells B, Braum P, Denault A, Miller Hance WC, Kaufman C, et al. Guidelines for performing ultrasound-guided vascular cannulation: recommendations of the American Society of Echocardiography. J Am Soc Echocardiogr. 2025;38:57\u201391. https:\/\/doi.org\/10.1016\/j.echo.2024.12.004.","journal-title":"J Am Soc Echocardiogr"},{"issue":"5","key":"5869_CR4","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1097\/EJA.0000000000001180","volume":"37","author":"M Lamperti","year":"2020","unstructured":"Lamperti M, Biasucci DG, DIsma N, Pittiruti M, Breschan C, Vailati D, et al. European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access). Eur J Anaesthesiol. 2020;37(5):344\u201376. https:\/\/doi.org\/10.1097\/EJA.0000000000001180.","journal-title":"Eur J Anaesthesiol"},{"key":"5869_CR5","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1186\/s13054-024-05162-0","volume":"28","author":"N Boulet","year":"2024","unstructured":"Boulet N, Pensier J, Occean BV, Peray PF, Mimoz O, Rickard CM, et al. Central venous catheter-related infections: a systematic review, meta-analysis, trial sequential analysis and meta-regression comparing ultrasound guidance and landmark technique for insertion. Crit Care. 2024;28:387. https:\/\/doi.org\/10.1186\/s13054-024-05162-0.","journal-title":"Crit Care"},{"key":"5869_CR6","doi-asserted-by":"publisher","unstructured":"Annetta MG, Spencer TR, Pittiruti M. The never-ending confusion between subclavian vein and axillary vein. J Vasc Access. 2025;11297298251352477. https:\/\/doi.org\/10.1177\/11297298251352477.","DOI":"10.1177\/11297298251352477"},{"key":"5869_CR7","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1056\/nejmoa1500964","volume":"373","author":"J-J Parienti","year":"2015","unstructured":"Parienti J-J, Mongardon N, M\u00e9garbane B, Mira J-P, Kalfon P, Gros A, et al. Intravascular complications of central venous catheterization by insertion site. N Engl J Med. 2015;373:1220\u20139. https:\/\/doi.org\/10.1056\/nejmoa1500964.","journal-title":"N Engl J Med"},{"key":"5869_CR8","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1007\/s00134-023-07006-x","volume":"49","author":"C Wu","year":"2023","unstructured":"Wu C, Zhang M, Gu W, Wang C, Zheng X, Zhang J, et al. Daily point-of-care ultrasound-assessment of central venous catheter-related thrombosis in critically ill patients: a prospective multicenter study. Intensive Care Med. 2023;49:401\u201310. https:\/\/doi.org\/10.1007\/s00134-023-07006-x.","journal-title":"Intensive Care Med"},{"key":"5869_CR9","doi-asserted-by":"publisher","unstructured":"O\u2019Grady NP, Alexander M, Burns LA, Patchen Dellinger E, Garland J, Heard SO et al. Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011). https:\/\/doi.org\/10.1093\/cid\/cir138","DOI":"10.1093\/cid\/cir138"},{"key":"5869_CR10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n160","volume":"372","author":"MJ Page","year":"2021","unstructured":"Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160. https:\/\/doi.org\/10.1136\/bmj.n160.","journal-title":"BMJ"},{"issue":"5","key":"5869_CR11","doi-asserted-by":"publisher","first-page":"1439","DOI":"10.1177\/11297298241291248","volume":"26","author":"M van Rens","year":"2025","unstructured":"van Rens M, van der Lee R, Spencer TR, van Boxtel T, Barone G, Crocoli A, et al. The NAVIGATE project: A GloVANet\u2013WoCoVA position statement on the nomenclature for vascular access devices. J Vasc Access. 2025;26(5):1439\u201346. https:\/\/doi.org\/10.1177\/11297298241291248.","journal-title":"J Vasc Access"},{"key":"5869_CR12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898","volume":"366","author":"JAC Sterne","year":"2019","unstructured":"Sterne JAC, Savovi\u0107 J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898. https:\/\/doi.org\/10.1136\/bmj.l4898.","journal-title":"BMJ"},{"key":"5869_CR13","unstructured":"Sch\u00fcnemann H, BJGGOA, editor. GRADE handbook for grading quality of evidence and strength of recommendations. Updated October 2013. The GRADE Working Group; 2013."},{"key":"5869_CR14","unstructured":"GRADEpro GDT. GRADEpro guideline development tool [Software]. McMaster University and Evidence Prime; 2023."},{"key":"5869_CR15","unstructured":"Review Manager (RevMan). [Computer program]. Version 5.4. The Cochrane Collaboration, 2020."},{"key":"5869_CR16","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1002\/sim.650","volume":"20","author":"SE Brockwell","year":"2001","unstructured":"Brockwell SE, Gordon IR. A comparison of statistical methods for meta-analysis. Stat Med. 2001;20:825\u201340. https:\/\/doi.org\/10.1002\/sim.650.","journal-title":"Stat Med"},{"key":"5869_CR17","doi-asserted-by":"crossref","unstructured":"Biggerstaff BJ, Tweedie RL. Incorporating variability in estimates of heterogeneity in the random effects model in meta-analysis. Stat Med. 1997;16:753\u201368.","DOI":"10.1002\/(SICI)1097-0258(19970415)16:7<753::AID-SIM494>3.0.CO;2-G"},{"issue":"2","key":"5869_CR18","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1097\/EJA.0000000000000186","volume":"32","author":"A Afshari","year":"2015","unstructured":"Afshari A, Wetterslev J. When may systematic reviews and meta-analyses be considered reliable? Eur J Anaesthesiol. 2015;32(2):85\u20137. https:\/\/doi.org\/10.1097\/EJA.0000000000000186.","journal-title":"Eur J Anaesthesiol"},{"key":"5869_CR19","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1093\/ije\/dyn179","volume":"38","author":"K Thorlund","year":"2009","unstructured":"Thorlund K, Devereaux PJ, Wetterslev J, Guyatt G, Ioannidis JPA, Thabane L, et al. Can trial sequential monitoring boundaries reduce spurious inferences from meta-analyses? Int J Epidemiol. 2009;38:276\u201386. https:\/\/doi.org\/10.1093\/ije\/dyn179.","journal-title":"Int J Epidemiol"},{"key":"5869_CR20","doi-asserted-by":"publisher","first-page":"E37","DOI":"10.1097\/CCM.0000000000005740","volume":"51","author":"T Czarnik","year":"2023","unstructured":"Czarnik T, Czuczwar M, Borys M, Chrzan O, Filipiak K, Maj M, et al. Ultrasound-Guided infraclavicular axillary vein versus internal jugular vein cannulation in critically ill mechanically ventilated patients: A randomized trial. Crit Care Med. 2023;51:E37\u201344. https:\/\/doi.org\/10.1097\/CCM.0000000000005740.","journal-title":"Crit Care Med"},{"key":"5869_CR21","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1002\/jcu.23383","volume":"51","author":"C Fournil","year":"2023","unstructured":"Fournil C, Boulet N, Bastide S, Louart B, Ambert A, Boutin C, et al. High success rates of ultrasound-guided distal internal jugular vein and axillary vein approaches for central venous catheterization: a randomized controlled open-label pilot trial. J Clin Ultrasound. 2023;51:158\u201366. https:\/\/doi.org\/10.1002\/jcu.23383.","journal-title":"J Clin Ultrasound"},{"key":"5869_CR22","doi-asserted-by":"publisher","first-page":"177","DOI":"10.4103\/aca.ACA_24_18","volume":"22","author":"P Shinde","year":"2019","unstructured":"Shinde P, Jasapara A, Bansode K, Bunage R, Mulay A, Shetty V. A comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patients. Ann Card Anaesth. 2019;22:177\u201386. https:\/\/doi.org\/10.4103\/aca.ACA_24_18.","journal-title":"Ann Card Anaesth"},{"key":"5869_CR23","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1177\/1129729820904866","volume":"21","author":"HY Wang","year":"2020","unstructured":"Wang HY, Sheng RM, Gao YD, Wang XM, Zhao WB. Ultrasound-guided proximal versus distal axillary vein puncture in elderly patients: a randomized controlled trial. J Vasc Access. 2020;21:854\u201360. https:\/\/doi.org\/10.1177\/1129729820904866.","journal-title":"J Vasc Access"},{"key":"5869_CR24","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-020-00703-6","volume":"10","author":"Y Su","year":"2020","unstructured":"Su Y, Hou J, Ma G, Hao G, Luo J, Yu S, et al. Comparison of the proximal and distal approaches for axillary vein catheterization under ultrasound guidance (PANDA) in cardiac surgery patients susceptible to bleeding: a randomized controlled trial. Ann Intensive Care. 2020;10:90. https:\/\/doi.org\/10.1186\/s13613-020-00703-6.","journal-title":"Ann Intensive Care"},{"key":"5869_CR25","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1093\/bja\/aev458","volume":"116","author":"G Buzan\u00e7ais","year":"2016","unstructured":"Buzan\u00e7ais G, Roger C, Bastide S, Jeannes P, Lefrant JY, Muller L. Comparison of two ultrasound guided approaches for axillary vein catheterization: a randomized controlled non-inferiority trial. Br J Anaesth. 2016;116:215\u201322. https:\/\/doi.org\/10.1093\/bja\/aev458.","journal-title":"Br J Anaesth"},{"key":"5869_CR26","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jcrc.2016.02.021","volume":"33","author":"T Czarnik","year":"2016","unstructured":"Czarnik T, Gawda R, Nowotarski J. Real-time ultrasound-guided infraclavicular axillary vein cannulation: a prospective study in mechanically ventilated critically ill patients. J Crit Care. 2016;33:32\u20137. https:\/\/doi.org\/10.1016\/j.jcrc.2016.02.021.","journal-title":"J Crit Care"},{"key":"5869_CR27","doi-asserted-by":"publisher","first-page":"157","DOI":"10.23736\/S0375-9393.19.13670-X","volume":"86","author":"A Farina","year":"2020","unstructured":"Farina A, Coppola G, Bassanelli G, Bianchi A, Lenatti L, Ferri LA, et al. Ultrasound-guided central venous catheter placement through the axillary vein in cardiac critical care patients: safety and feasibility of a novel technique in a prospective observational study. Minerva Anestesiol. 2020;86:157\u201364. https:\/\/doi.org\/10.23736\/S0375-9393.19.13670-X.","journal-title":"Minerva Anestesiol"},{"key":"5869_CR28","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1504300513","volume":"45","author":"H Glen","year":"2015","unstructured":"Glen H, Lang I, Christie L. Infraclavicular axillary vein cannulation using ultrasound in ventilated patients infraclavicular axillary vein cannulation using ultrasound in a mechanically ventilated general intensive care population. Anaesth Intensive Care. 2015;45:5. https:\/\/doi.org\/10.1177\/0310057X1504300513.","journal-title":"Anaesth Intensive Care"},{"issue":"5","key":"5869_CR29","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1111\/aas.12295","volume":"58","author":"P Frykholm","year":"2014","unstructured":"Frykholm P, Pikwer A, Hammarskj\u00f6ld F, Larsson AT, Lindgren S, Lindwall R, et al. Clinical guidelines on central venous catheterisation: central venous catheterisation. Acta Anaesthesiol Scand. 2014;58(5):508\u201324. https:\/\/doi.org\/10.1111\/aas.12295.","journal-title":"Acta Anaesthesiol Scand"},{"key":"5869_CR30","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1007\/s00134-006-0507-9","volume":"33","author":"C Walshe","year":"2007","unstructured":"Walshe C, Phelan D, Bourke J, Buggy D. Vascular erosion by central venous catheters used for total parenteral nutrition. Intensive Care Med. 2007;33:534\u20137. https:\/\/doi.org\/10.1007\/s00134-006-0507-9.","journal-title":"Intensive Care Med"}],"container-title":["Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13054-026-05869-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13054-026-05869-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13054-026-05869-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T09:46:46Z","timestamp":1772531206000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13054-026-05869-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,30]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["5869"],"URL":"https:\/\/doi.org\/10.1186\/s13054-026-05869-2","relation":{},"ISSN":["1364-8535"],"issn-type":[{"value":"1364-8535","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,30]]},"assertion":[{"value":"19 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study is a systematic review, and thus IRB\/IEB committee approval was not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"96"}}