Trial reportIntensive care medicine2013
Ultrasound-guided central venous cannulation is superior to quick-look ultrasound and landmark methods among inexperienced operators: a prospective randomized study.
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 trial NCT02741453 (Scanning of Bilateral Internal Jugular Veins With Ultrasound Prior to CVC Placement - Effect on Success and Complications), which is not on this map. Cited by 25 papers, 3 of them syntheses 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.
Scanning of Bilateral Internal Jugular Veins With Ultrasound Prior to CVC Placement - Effect on Success and Complications
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Central venous catheter-related infections: a systematic review, meta-analysis, trial sequential analysis and meta-regression comparing ultrasound guidance and landmark technique for insertion.Critical care (London, England) · 2024Pooled it
- Incidence of catheter-related bloodstream infections following ultrasound-guided central venous catheterization: a systematic review and meta-analysis.BMC infectious diseases · 2022Pooled it
- Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization.The Cochrane database of systematic reviews · 2015Pooled it
- Improvement of central vein ultrasound-guided puncture success using a homemade needle guide-a simulation study.Critical care (London, England) · 2023Trial
- Ultrasound reliance and landmark-based proficiency in vascular access training: a multicenter cross-sectional survey of anesthesia trainees and teaching faculty in Eastern China.BMC medical education · 2026Observational
- Practice guideline on the prevention and treatment of central line-associated bloodstream infection: Part 1--Diagnosis and prevention.Journal of intensive medicine · 2026Article
- Observational
- Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit.Annals of intensive care · 2020Review
- Meta-analysis of ultrasound-guided vs conventional vascular access for cardiac electrophysiology procedures.Journal of arrhythmia · 2019Article
- Article
- Arteriovenous femoral fistula after insertion of leadless pacemaker-A case with an anomaly of the deep femoral artery.Journal of arrhythmia · 2019Article
- Recommendations on the Use of Ultrasound Guidance for Central and Peripheral Vascular Access in Adults: A Position Statement of the Society of Hospital Medicine.Journal of hospital medicine · 2019Article
- Ultrasound-guided vascular access in critical illness.Intensive care medicine · 2019Review
- Is the Trendelenburg position the only way to better visualize internal jugular veins?Acta medica Lituanic · 2018Article
- Ultrasound-guided or landmark techniques for central venous catheter placement in critically ill children.Intensive care medicine · 2018Observational
- The ICM research agenda on critical care ultrasonography.Intensive care medicine · 2017Review
- Central Venous Cannulation of the Internal Jugular Vein Using Ultrasound-Guided and Anatomical Landmark Techniques.Anesthesiology and pain medicine · 2016Article
- [A Germany-wide survey on anaesthesia in thoracic surgery].Der Anaesthesist · 2016Article
- Ten tips for managing critically ill burn patients: follow the RASTAFARI!Intensive care medicine · 2015Article
- Ultrasound-guided central venous access: what's new?Intensive care medicine · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveQuick-look ultrasound with a skin mark (UM) has been frequently used for central vein cannulation. The aim of this study is to compare this method with landmark (LM) and ultrasound-guided (UG) cannulation of jugular and femoral veins by inexperienced operators.
designProspective randomized single-center study.
settingA medical intensive care unit (ICU) of a university medical center. PATIENTS: Patients requiring jugular or femoral central cannula placement.
interventionEach inexperienced resident randomly inserted a central venous line using the UM, LM or UG technique. MEASUREMENTS AND
findingsThe primary outcome was the success rate, and secondary outcomes were the placement time, number of attempts, mechanical complication rate, and catheter colonization rate. A total of 118 patients were randomly assigned to the three groups. The mean age of patients included in the study was 65 ± 15 years, and the mean Simplified Acute Physiology Score 2 (SAPS2) was 57 ± 20. The success rate was higher in the UG group than in the LM and UM groups (100, 74, and 73 %, respectively; p = 0.01). The total number of mechanical complications was higher in the LM and UM groups than in the UG group (24 and 36 versus 0 %, respectively; p = 0.01). The number of attempts and the access time were higher in the LM group than in the UG group, but not compared with the UM group. No difference in terms of catheter colonization was observed between the three groups.
conclusionsUltrasound-guided cannulation of the internal jugular or femoral vein by inexperienced residents appears to be more reliable than the LM or UM methods and was associated with a lower mechanical complication rate among ICU patients.
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