Evidence map›Paper›PMID 37777778›Full record

Trial reportCritical care (London, England)2023

Improvement of central vein ultrasound-guided puncture success using a homemade needle guide-a simulation study.

Antoine Villa, Vladimir Hermand, Vincent Bonny, Gabriel Preda, Tomas Urbina, Maxime Gasperment, Paul Gabarre, Louai Missri, Jean-Luc Baudel, Daniel Zafimahazo and 3 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Can Ultrasound-Guided in-Plane Puncture Technique Enhance the Precision of Femoral Artery Access? The Randomized PARFEM Trial.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Trial
  2. Article
  3. Article
  4. Review
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

13 authors at 4 institutions in 1 country.

Antoine VillaMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Vladimir HermandLearning Planet Institute, 75004, Paris, France.
Vincent BonnyMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Gabriel PredaMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Tomas UrbinaMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Maxime GaspermentMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Paul GabarreMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Louai MissriMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Jean-Luc BaudelMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Daniel ZafimahazoMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Jérémie JoffreMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Hafid Ait-OufellaMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France.
Eric MauryMedical Intensive Care Unit, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (APHP), Saint-Antoine University Hospital, Sorbonne University, 75012, Paris, France. eric.maury@aphp.fr.
Hôpital Saint-Antoine · FRAssistance Publique – Hôpitaux de Paris · FRSorbonne Université · FRInstitut Pierre Louis d‘Épidémiologie et de Santé Publique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOut-of-plane (OOP) approach is frequently used for ultrasound-guided insertion of central venous catheter (CVC) owing to its simplicity but does not avoid mechanical complication. In-plane (IP) approach might improve safety of insertion; however, it is less easy to master. We assessed, a homemade needle guide device aimed to improve CVC insertion using IP approach.

methodWe evaluated in a randomized simulation trial, the impact of a homemade needle guide on internal jugular, subclavian and femoral vein puncture, using three approaches: out-of-plane free hand (OOP-FH), in-plane free hand (IP-FH), and in-plane needle guided (IP-NG). Success at first pass, the number of needle redirections and arterial punctures was recorded. Time elapsed (i) from skin contact to first skin puncture, (ii) from skin puncture to successful venous puncture and (iii) from skin contact to venous return were measured.

resultsThirty operators performed 270 punctures. IP-NG approach resulted in high success rate at first pass (jugular: 80%, subclavian: 95% and femoral: 100%) which was higher than success rate observed with OOP-FH and IP-FH regardless of the site (p = .01). Compared to IP-FH and OOP-FH, the IP-NG approach decreased the number of needle redirections at each site (p = .009) and arterial punctures (p = .001). Compared to IP-FH, the IP-NG approach decreased the total procedure duration for puncture at each site.

conclusionIn this simulation study, IP approach using a homemade needle guide for ultrasound-guided central vein puncture improved success rate at first pass, reduced the number of punctures/redirections and shortened the procedure duration compared to OOP and IP free-hand approaches.

Indexed as

Catheterization, Central VenousHumansJugular VeinsPuncturesUltrasonographyUltrasonography, InterventionalCatheterizationCentral venous catheter insertionUltrasonography

Identifiers

PMID37777778
PMCPMC10543855
OpenAlexW4387215278

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.