Intraosseous versus intravenous access while wearing personal protective equipment: a meta-analysis in the era of COVID-19

Background: Obtaining vascular access is one of the key procedures performed in patients emergency settings. Aims: The study was conducted as a meta?analysis and systematic review aimed to address following question: which intravascular method should be used with COVID?19 when wearing full personal protective equipment (PPE)? Methods: We search PubMed, EMBASE, CENTRAL databases for randomized controlled trials that compared methods by operators level C PPE. evaluated procedure duration success rate intraosseous peripheral intravenous accesses. Results: Eight were included quantitative synthesis. use PPE during had an impact on case (mean difference [MD], 11.69; 95% CI, 6.47–16.92; P < 0.001), well reduced 0.8% 10.1%. Under conditions, access, offered shorter time (MD, –41.43; –62.36 –24.47; 0.001). Conclusion: This comprehensive suggested significantly extends procedures. However, under able obtain higher than access.