Evidence map›Paper›PMID 24611628›Full record

ArticleAnnals of the American Thoracic Society2014

Ultrasound-guided subclavian vein cannulation using a micro-convex ultrasound probe.

Michael J Lanspa, James Fair, Eliotte L Hirshberg, Colin K Grissom, Samuel M Brown

Open access · greenAbstract readVideo-Audio Media
In one paragraph

Article in Annals of the American Thoracic Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.1field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Michael J Lanspa1 Division of Pulmonary and Critical Care Medicine, University of Utah School of Medicine and Intermountain Medical Center.
James Fair
Eliotte L Hirshberg
Colin K Grissom
Samuel M Brown
Intermountain Medical Center · USUniversity of Utah · US

Funding

Cardiovascular Variability and Control in Early SepsisK23GM094465 · NIGMS · IHC HEALTH SERVICES, INC. · PI BROWN, SAMUEL MORRIS · 2010 to 2014
$637k
NIGMS NIH HHS K23 GM094465NIGMS NIH HHS K23GM094465
6 · The paper itself

Abstract

backgroundThe subclavian vein is the preferred site for central venous catheter placement due to infection risk and patient comfort. Ultrasound guidance is useful in cannulation of other veins, but for the subclavian vein, current ultrasound-guided techniques using high-frequency linear array probes are generally limited to axillary vein cannulation.

methodsWe report a series of patients who underwent clinically indicated subclavian venous catheter placement using a micro-convex pediatric probe for real-time guidance in the vein's longitudinal axis. We identified rates of successful placement and complications by chart review.

resultsTwenty-four catheters were placed using the micro-convex pediatric probe with confirmation of placement of the needle medial to the lateral border of the first rib. Sixteen of the catheters were placed by trainee physicians. In 23 patients, the catheter was placed without complication (hematoma, pneumothorax, infection). In one patient, the vein could not be safely cannulated without risk of arterial puncture, so an alternative site was selected.

conclusionsInfraclavicular subclavian vein cannulation using real-time ultrasound with a micro-convex pediatric probe appears to be a safe and effective method of placing subclavian vascular catheters. This technique merits further study to confirm safety and efficacy.

Indexed as

Catheterization, Central VenousCohort StudiesHumansRetrospective StudiesSubclavian VeinUltrasonography, Interventional

Identifiers

PMID24611628
PMCPMC4225800
OpenAlexW2061942814

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.