Evidence map›Paper›PMID 29503552›Full record

ArticleTherapeutics and clinical risk management2018

Comparison between the long-axis/in-plane and short-axis/out-of-plane approaches for ultrasound-guided vascular catheterization: an updated meta-analysis and trial sequential analysis.

Chao Liu, Zhi Mao, Hongjun Kang, Xin Hu, Shengmao Jiang, Pan Hu, Jie Hu, Feihu Zhou

Abstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. [Short-axisNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2020
    Pooled it
  3. Pooled it
  4. Clinical Effect of Modified Ultrasound-Guided Subclavian Vein Puncture.International journal of clinical practice · 2023
    Trial
  5. Article
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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

8 authors.

Chao Liu *Department of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Zhi Mao *Department of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Hongjun KangDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Xin HuDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Shengmao JiangDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Pan HuDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Jie HuDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Feihu ZhouDepartment of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA long-axis in-plane (LA-IP) approach and a short-axis out-of-plane (SA-OOP) approach are the two main approaches used in ultrasound (US)-guided vascular catheterization. However, the efficacy and safety of these approaches remain controversial. Therefore, we performed this meta-analysis to compare the two techniques in vascular catheterization. MATERIALS AND

methodsRelevant studies were searched in PubMed, Embase, and the Cochrane Library databases from database inception until August 2017. Randomized controlled trials comparing a long-axis approach with a short-axis approach for US-guided vascular cannulation were selected. The RevMan software was used to analyze the results, and trial sequential analysis (TSA) was further applied to determine whether the currently available evidence was sufficient and conclusive.

resultsEleven studies met the inclusion criteria. Overall, 1,210 patients were included. The total success rate was similar between the SA-OOP and LA-IP approaches for US-guided vascular catheterization (risk ratio [RR], 1.01; 95% CI, 0.99-1.04;

conclusionDespite a similar total success rate between the SA-OOP approach and the LA-IP approach when used for RA and IJV catheterization (as confirmed by TSA), further robust well-designed trials are warranted to evaluate other outcomes. There is insufficient evidence to definitively state that the SA-OOP approach was superior to the LA-IP approach when used for SCV and axillary vein catheterization. High-quality trials are needed to confirm or refute this finding.

Indexed as

internal jugular veinlong-axis in-planeradial arteryshort-axis out-of-planeultrasound guidancevascular catheterization

Identifiers

PMID29503552
PMCPMC5824754

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Registered trials

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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.