Evidence map›Paper›PMID 38145989›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Implementation of an ultrasound-guided approach for arterial line placements in neonates-quality improvement project.

Marko Culjat, Domagoj Dzaja, Heather Colangelo, Jill Gardiner, Kyong-Soon Lee, Hilary Whyte

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 25% 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, 2 citations in OpenAlex.

  1. Article
  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

6 authors at 2 institutions in 2 countries.

Marko CuljatDivision of Neonatology, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada. marko.culjat@sickkids.ca.ORCID 0000-0002-9021-1498
Domagoj DzajaDepartment of Anatomy, School of Medicine, University of Zagreb, Zagreb, Croatia.
Heather ColangeloAcute Care Transport Services, The Hospital for Sick Children, Toronto, ON, Canada.
Jill GardinerAcute Care Transport Services, The Hospital for Sick Children, Toronto, ON, Canada.
Kyong-Soon LeeDivision of Neonatology, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-5193-8937
Hilary WhyteDivision of Neonatology, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Hospital for Sick Children · CAUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur goal was to improve placement success rates for peripheral arterial line (PAL) placements by introducing an ultrasound-guided (USg) approach. Our aim was to maintain success rates over 70% within 18 months. STUDY

designInterventions included development of a training curriculum, and procedure standardization. Among 302 patients, 115 underwent USg catheter placement; the traditional method was used in 187 patients. Outcome measures were first-attempt and overall success rates. Process measures were proportion of PALs placed under US guidance, trainer availability, and trainee sign-off. Line complications were balancing measures. Statistical process control charts were used to monitor metrics.

resultsSustained improvement was seen with the USg approach. The USg approach had first and overall attempt success by the trainers (i.e., independent users) of 83.7% (77/92) and 96.5% (111/115), compared to 50.3% (82/163) and 73.8% (138/187) with the traditional approach.

conclusionIntroducing the USg approach had a significant impact on PAL placement success in neonatal patients.

Indexed as

Catheterization, PeripheralQuality ImprovementUltrasonography, InterventionalFemaleHumansInfant, NewbornMale

Identifiers

PMID38145989
OpenAlexW4390192631

What OpenQuestion holds

Textmetadata
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.