Evidence map›Paper›PMID 30971600›Full record

Trial reportAnnals of cardiac anaesthesia

A comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patients.

Prajakta D Shinde, Amish Jasapara, Kishan Bansode, Rohit Bunage, Anvay Mulay, Vijay L Shetty

Open access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of cardiac anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
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

6 authors at 1 institution in 1 country.

Prajakta D ShindeDepartment of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
Amish JasaparaDepartment of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
Kishan BansodeDepartment of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
Rohit BunageDepartment of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
Anvay MulayDepartment of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
Vijay L ShettyDepartment of Anaesthesiology, Fortis Hospital, Mumbai, Maharashtra, India.
Fortis Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ultrasound (US)-guided internal jugular vein (IJV) cannulation is a widely accepted standard procedure. The axillary vein (AV) in comparison to the subclavian vein is easily visualized, but its cannulation is not extensively studied in cardiac patients. Aims: This study is an attempt to study the efficacy of real-time US-guided axillary venous cannulation as a safe alternative for the time-tested US-guided IJV cannulation. Design: This is a prospective randomized controlled study. Materials and Methods: A total of 100 adult patients scheduled for cardiac surgery were divided equally in Group A-US-guided IJV cannulation, and Group B-US-guided axillary venous cannulation. Under local anesthesia and real-time US guidance the IJV or AV was secured. The access time, guidewire time, and procedure time were noted. Furthermore, the number of needle attempts, malposition, change of site, and complications were noted. Results: The data were analyzed for 49 patients in Group A and 48 patients in the Group B due to exclusions. The access time and the guidewire time were comparable in both groups. The first attempt needle puncture was successful for the IJV group in 98% of patients in comparison to 95% of patients in Group B. Guidewire was passed in the first attempt in 94% in Group A and 89% in the Group B. Except for arterial puncture in one case in group A, the complications were insignificant in both groups. Conclusion: The study shows that the US-guided AV cannulation may serve as an effective alternative to the IJV cannulation in cardiac surgery.

Indexed as

Cardiac Surgical ProceduresAdultAgedAxillary VeinCatheterization, Central VenousFemaleHumansJugular VeinsMaleMiddle AgedProspective StudiesTreatment OutcomeUltrasonography, InterventionalAnesthesiaaxillary veinultrasound

Identifiers

PMID30971600
PMCPMC6489407
OpenAlexW2938057895

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.