Evidence map›Paper›PMID 31799414›Full record

ArticleTrauma surgery & acute care open2019

Feasibility and safety of a novel electromagnetic device for small-bore feeding tube placement.

Lewis E Jacobson, May Olayan, Jamie M Williams, Jacqueline F Schultz, Hannah M Wise, Amandeep Singh, Jonathan M Saxe, Richard Benjamin, Marie Emery, Hilary Vilem and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Trauma surgery & acute care open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 2 institutions in 1 country.

Lewis E JacobsonTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
May OlayanCenter for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Jamie M WilliamsTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
Jacqueline F SchultzTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
Hannah M WiseTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
Amandeep SinghCenter for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Jonathan M SaxeTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
Richard BenjaminCenter for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Marie EmeryCenter for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Hilary VilemCenter for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Donald F KirbyCenter for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Cleveland Clinic · USSt Vincent Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMisplacement of enteral feeding tubes (EFT) in the lungs is a serious and potentially fatal event. A recent Food and Drug Administration Patient Safety Alert emphasized the need for improved technology for the safe and effective delivery of EFTs.

objectiveWe investigated the feasibility and safety of ENvue, a novel electromagnetic tracking system (EMTS) to aid qualified operators in the placement of EFT.

methodsThis is a prospective, single-arm study of patients in intensive care units at two US hospitals who required EFTs. The primary outcome was appropriate placement of EFTs without occurrence of guidance-related adverse events (AEs), as confirmed by both EMTS and radiography. Secondary outcomes were reconfirmation of the EFT tip location at a follow-up visit using the EMTS compared with radiography, tube retrograde migration from initial location and AEs.

resultsSixty-five patients were included in the intent-to-treat analysis. EFTs were successfully placed in 57 patients. In eight patients, placement was unsuccessful due to anatomic abnormalities. According to both the EMTS and radiography, no lung placements occurred. No pneumothoraces were reported, nor any guidance-related AEs. Precise agreement of tube tip location was achieved between the EMTS evaluations and radiographs for 56 of the 58 (96.5%) successful placements (one patient had two placements). Tube tip location was re-confirmed 12-49 hours after EFT insertion by the EMTS and radiographs in 48 patients (84%). For 43/48 patients (89.5%), full agreement between the EMTS and radiography evaluations was observed. For the five remaining patients, the misalignment between the evaluations was within the gastrointestinal tract. Retrograde migration from the initial location was observed in 4/49 patients (8%).

conclusionA novel electromagnetic system demonstrated feasibility and safety of real-time and follow-up tracking of EFT placement into the stomach and small intestine, as confirmed by radiographs. No inadvertent placements into the lungs were documented. LEVEL OF EVIDENCE: Level V (large case series).

Identifiers

PMID31799414
PMCPMC6861064
OpenAlexW2986377222

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.