Evidence map›Paper›PMID 31406439›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2019

Value of Routine Sonographic Screening of Internal Jugular Vein to Detect Catheter Related Thrombosis in Intensive Care Unit.

Manohar Nm Bhat, Ramesh Venkataraman, Nagarajan Ramakrishnan, Babu K Abraham, Senthilkumar Rajagopalan

Erratum issued Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04503135 (Prospective Cohort Study on Catheter Associated Asymptomatic Thrombosis in Intensive Care Unit), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

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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.

NCT04503135 completednot on this mapstarted 2020, after this paper: background citation

Prospective Cohort Study on Catheter Associated Asymptomatic Thrombosis in Intensive Care Unit

TypeobservationalSponsorPoliclinico HospitalRan2020 to 2022Enrolled203ConditionsCentral Venous Catheters, Central Venous Catheter Thrombosis, Thrombosis, Venous, Intensive Care UnitArmsultrasound
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Manohar Nm BhatDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, India.
Ramesh VenkataramanDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, India.
Nagarajan RamakrishnanDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, India.
Babu K AbrahamDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, India.
Senthilkumar RajagopalanDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, India.
Apollo Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsInternal jugular vein (IJV) cannulation is a common procedure in the ICU with thrombosis being an uncommon, albeit serious complication. Thrombosis is one of the important complications of IJV cannulation. This study aims to evaluate the use of ultrasound screening by intensivists to assess the incidence of catheter-related IJV thrombosis in ICU. MATERIALS AND

methodsFifty consecutive IJV cannulations meeting the inclusion criteria were analyzed in the ICU. Duplex scanning and color doppler sonography were performed by the intensivist on day 3, 6, 9, 12 and 15 after cannulation. The thrombus, when detected, was confirmed independently by a radiologist. The patient demographics, the type of catheter, laterality and the mean duration of catheterization were recorded. Risk factors like presence of circulatory shock, thrombocytosis, DIC, liver disease, and absence of chemoprophylaxis for DVT were documented.

resultsA total of 39 patients and 50 cannulations were studied. The mean age of patients was 56.5±16.2 years and mean duration of catheterization was 6.6±2.1 days. We found a 38% (19/50) incidence of thrombosis in our study. There was 100% correlation in detection of thrombosis by the intensivist and the radiologist. The thrombus was detected at 6.9±2.1 days after cannulation. All the patients who developed thrombosis had one or more risk factors. The most common risk factor was circulatory shock (40%). Central line associated blood stream infection (CLABSI) was seen only in the patients in whom IJV thrombus was detected (5/19).

conclusionCatheter-related IJV thrombosis is a frequent complication in ICU patients and is associated with the increased risk of CLABSI. Ultrasound screening is simple, feasible and accurate in diagnosing IJV thrombosis. HOW TO CITE THIS ARTICLE: Bhat MNM, Venkatraman R, Ramakrishnan N, Abraham BK, Rajagopalan S. Value of Routine Sonographic Screening of Internal Jugular Vein to Detect Catheter Related Thrombosis in Intensive Care Unit. Indian J Crit Care Med 2019;23(7):326-328.

Indexed as

Central venous cannulationCLABSIInternal jugular vein (IJV)SonographyThrombosis

Identifiers

PMID31406439
PMCPMC6686590
OpenAlexW2972583201

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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.