Evidence map›Paper›PMID 23287876›Full record

Trial reportIntensive care medicine2013

A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe.

Antoine Vieillard-Baron, Michel Slama, Paul Mayo, Cyril Charron, Jean-Bernard Amiel, Cédric Esterez, François Leleu, Xavier Repesse, Philippe Vignon

3 registry-linked trialsOpen access · bronzeAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02048566 nacompletednot on this mapstarted 2014, after this paper: background citation

ImaCor II Effects of Hemodynamic Monitoring Using the ImaCor Single Use Transesophageal Echocardiography Probe in Critically Ill Patients - a Randomized Controlled Trial

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2014 to 2018Enrolled550ConditionsShockArmsImaCor PM, ImaCor SM, Control PM, Control SM
NCT02770183 withdrawnnot on this mapstarted 2019, after this paper: background citation

Rate of Left Ventricular Systolic Function's Recuperation After Cardiac Surgery With Extracorporeal Circulation.

TypeobservationalSponsorUniversity Hospital, GenevaRan2019 to 2020Enrolled0ConditionsMyocardial Stunning, Transesophageal Echocardiography, Circulation, ExtracorporealArmsImacor
NCT02927041 withdrawnnot on this mapstarted 2018, after this paper: background citation

Observational Prospective Transesophageal Myocardial Ultrasound Survey

TypeobservationalSponsorThe University of Texas Health Science Center, HoustonRan2018 to 2019Enrolled0ConditionsHemodynamic InstabilityArmstransesophageal echocardiography (hTEE)
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 102 citations in OpenAlex.

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  13. Alternatives to the Swan-Ganz catheter.Intensive care medicine · 2018
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  18. Incidence Proportion of Acute Cor Pulmonale in Patients with Acute Respiratory Distress Syndrome Subjected to Lung Protective Ventilation: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Antoine Vieillard-BaronIntensive Care Unit, Section Thorax-Vascular Diseases-Abdomen-Metabolism, University Hospital Ambroise Paré, AP-HP, 9 avenue Charles-de-Gaulle, 92104, Boulogne, France. antoine.vieillard-baron@apr.aphp.fr
Michel Slama
Paul Mayo
Cyril Charron
Jean-Bernard Amiel
Cédric Esterez
François Leleu
Xavier Repesse
Philippe Vignon
Hôpital Ambroise-Paré · FRCentre Hospitalier Universitaire Amiens-Picardie · FRInserm · FRAssistance Publique – Hôpitaux de Paris · FRLong Island Jewish Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the hemodynamic monitoring capability and safety of a single-use miniaturized transesophageal echocardiography (TEE) probe left in place in ventilated critically ill patients.

methodsThe probe was inserted in 94 patients and designed to be left in place for up to 72 h. Three views were obtained: the superior vena caval transverse, the mid-esophageal four-chamber, and the transgastric mid-papillary short-axis views. Observational data on the feasibility of insertion, complications, image quality, and influence on management were recorded and analyzed.

resultsNo failure of probe insertion was observed. The nasogastric tube had to be removed in 17 % of cases. Image quality was judged as adequate or optimal in 91/94 (97 %) of cases in the superior vena caval view, 89/94 (95 %) of cases in the four-chamber view, and 86/94 (91 %) of cases in the short-axis view. The duration of monitoring was 32 ± 23 h, allowing 2.8 ± 1.6 hemodynamic evaluations per patient that led to a mean of 1.4 ± 1.5 therapeutic changes per patient. Among the 263 hemodynamic assessments, 132 (50 %) had a direct therapeutic impact in 62 patients (66 %). Two patients developed lip ulceration from the probe, and two patients had self-limited gastric bleeding.

conclusionThe single-use miniaturized probe could be inserted in all patients. Image quality was acceptable in the majority of cases, and the information derived from the device was useful in making management decisions in patients with hemodynamic failure on ventilatory support. Further studies are needed to confirm the good tolerance and to compare the new device with other hemodynamic monitoring techniques.

Indexed as

Patient SafetyAcute Lung InjuryDisposable EquipmentEchocardiography, TransesophagealFeasibility StudiesFemaleFranceHemodynamicsHumansMaleMiddle AgedMiniaturizationMonitoring, PhysiologicPilot ProjectsProspective StudiesRespiration, Artificial

Identifiers

PMID23287876
OpenAlexW2080824021

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.