Evidence map›Paper›PMID 37587995›Full record

ArticleBJA open2023

Biplanar

Harm J Scholten, Gwen Broens, Michael I Meesters, Joris van Houte, Renee J C van den Broek, Leontien Ter Horst, Danihel van Neerven, Marjolein Hoefeijzers, Veerle Piot, Leon J Montenij and 2 more

Open access · goldAbstract read
In one paragraph

Article in BJA open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 3 institutions in 1 country.

Harm J ScholtenDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Gwen BroensDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Michael I MeestersDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Joris van HouteDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Renee J C van den BroekDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Leontien Ter HorstDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Danihel van NeervenDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Marjolein HoefeijzersDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Veerle PiotDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Leon J MontenijDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Erik H M KorstenDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
R Arthur BouwmanDepartment of Anaesthesiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Catharina Ziekenhuis · NLRadboud University Nijmegen · NLEindhoven University of Technology · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ultrasound guidance increases first-pass success rates and decreases the number of cannulation attempts and complications during radial artery catheterisation but it is debatable whether short-, long-, or oblique-axis imaging is superior for obtaining access. Three-dimensional (3D) biplanar ultrasound combines both short- and long-axis views with their respective benefits. This study aimed to determine whether biplanar imaging would improve the accuracy of radial artery catheterisation compared with conventional 2D imaging. Methods: This before-and-after trial included adult patients who required radial artery catheterisation for elective cardiothoracic surgery. The participating anaesthesiologists were experienced in 2D and biplanar ultrasound-guided vascular access. The primary endpoint was successful catheterisation in one skin break without withdrawals. Secondary endpoints were the numbers of punctures and withdrawals, scanning and procedure times, needle visibility, perceived mental effort of the operator, and posterior wall puncture or other mechanical complications. Results: From November 2021 until April 2022, 158 patients were included and analysed (2D=75, biplanar=83), with two failures to catheterise in each group. First-pass success without needle redirections was 58.7% in the 2D group and 60.2% in the biplanar group (difference=1.6%; 95% confidence interval [CI], -14.0%-17.1%; Conclusions: Biplanar ultrasound guidance did not improve success rates nor other performance measures of radial artery catheterisation. The additional visual information acquired with biplanar imaging did not offer any benefit. Clinical trial registration: N9687 (Dutch Trial Register).

Indexed as

biplanar ultrasoundcardiothoracic anaesthesiahandheld ultrasoundradial artery catheterisationultrasound-guided vascular access

Identifiers

PMID37587995
PMCPMC10430866
OpenAlexW4317938086

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.