Evidence map›Paper›PMID 35410238›Full record

Trial reportBMC medical education2022

The application of the acoustic shadowing facilitates guidance in radial artery puncture and cannulation teaching in standardized training for residents: a randomized controlled trial.

Rui Dong, Jingyan Chen, Hong Wang, Zhilin Liu, Xiaopeng Sun, Yuwei Guo, Mingshan Wang, Lixin Sun, Xiaoping Gu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2022. 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
3.7field-weighted citation impact, top 7% 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, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Ultrasound-guided Arterial Cannulation: What are We Missing and Where are We Headed?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  9. Acoustic Shadowing to Facilitate Ultrasound Guided Arterial Cannulation: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    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

9 authors at 4 institutions in 1 country.

Rui Dong *Department of Anesthesiology, Drum Tower Hospital Affiliated to Nanjing University Medical School, No.321 Zhongshan Road, Nanjing, 210008, China.
Jingyan Chen *Department of Anesthesiology, Qingdao Municipal Hospital, Nanjing Medical University, Qingdao, 266071, China.
Hong WangDepartment of Education and Training, Qingdao Women and Children' S Hospital, Qingdao University, Qingdao, 266034, China.
Zhilin LiuDepartment of Anesthesiology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Xiaopeng SunDepartment of Anesthesiology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Yuwei GuoDepartment of Anesthesiology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Mingshan WangDepartment of Anesthesiology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Lixin Sun *Department of Anesthesiology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Xiaoping Gu *Department of Anesthesiology, Drum Tower Hospital Affiliated to Nanjing University Medical School, No.321 Zhongshan Road, Nanjing, 210008, China. xiaopinggu@nju.edu.cn.
Qingdao University · CNQingdao Municipal Hospital · CNNanjing Drum Tower Hospital · CNNanjing Medical University · CN

Funding

B.Braun Anesthesia Research Fund BBDF-2019-010The Youth Project of the National Natural Science Foundation of China 82001132
6 · The paper itself

Abstract

backgroundRadial artery cannulation is a crucial investigative procedure for measuring patients' blood pressure invasively and serial blood gases. However, radial artery cannulation can be challenging for medical residents, and it is necessary to establish a facile and straightforward teaching strategy. This study aimed to evaluate the efficiency of acoustic shadowing-facilitated ultrasound guidance on radial artery cannulation teaching for medical residents.

methodsA total of 116 medical postgraduates who underwent standardized residency training programs in the Department of Anesthesiology were randomly divided into a new ultrasound-guided teaching group and a traditional ultrasound-guided teaching group. In the new ultrasound-guided teaching group, radial artery puncture technique was taught by acoustic shadowing-facilitated ultrasound guidance. The training included both theoretical and practical components. After the training, the success rate of the first puncture attempt, the success rate of the catheterization, the ultrasonic positioning time, and the catheterization time of the two groups were compared in a unified manner. A questionnaire on the subjective evaluation of the various aspects of the program by participants was conducted at the end of the training period.

resultsThe study included 101 medical residents. The success rate for radial artery puncture at the first attempt in the new ultrasound-guided teaching group was 78.43%. It was significantly higher than that of the traditional ultrasound-guided group (58.00%, odds ratio = 0.380; 95% CI = 0.159 to 0.908; p = 0.027). The success rate for the first arterial catheterization in the new ultrasound-guided teaching group was significantly higher than that of the traditional ultrasound-guided group (74.51% vs. 52.00%, odds ratio = 0.371; 95% CI = 0.160 to 0.858; p = 0.019). The ultrasonic positioning time and catheterization time in minutes in the new ultrasound-guided teaching group were significantly shorter than that of the traditional ultrasound-guided group (14.36 ± 3.31 vs. 18.02 ± 4.95, p < 0.001; 10.43 ± 2.38 vs. 14.78 ± 8.02, p = 0.012). However, no significant differences were observed in the incidence of local hematomas and teaching satisfaction scores between the two groups.

conclusionAcoustic shadowing facilitates ultrasound-guided radial artery puncture and catheterization is beneficial in the standardized training and teaching of residents. It improves the success rate of the first attempt at radial artery puncture and catheterization and shortens the time of ultrasound location and catheterization.

trial registrationRegistered in the Chinese Clinical Trial Registry on 28 May 2021. REGISTRATION NUMBER: ChiCTR2100046833 .

Indexed as

Catheterization, PeripheralRadial ArteryAcousticsHumansPuncturesUltrasonography, InterventionalAcoustic ShadowingAnesthesiologyRadial artery punctureResident standardization trainingUltrasound

Identifiers

PMID35410238
PMCPMC8996567
OpenAlexW4223460251

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.