Evidence map›Paper›PMID 38263923›Full record

ArticleLa Tunisie medicale2023

Mahmoud Marzouk, Oussama Nasri, Rabeb Hammami, Chadha Ben Messaoud, Saber Thamlaoui, Nader Baffoun, Olfa Kaabachi, Chokri Kaddour

Abstract readComparative StudyEnglish AbstractMulticenter Study
In one paragraph

Article in La Tunisie medicale, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mahmoud MarzoukKassab Institute of Orthopaedics, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Oussama NasriKassab Institute of Orthopaedics, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Rabeb HammamiMongi Ben Hmida National Institute of Neurology, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Chadha Ben MessaoudKassab Institute of Orthopaedics, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Saber ThamlaouiMongi Ben Hmida National Institute of Neurology, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Nader BaffounMongi Ben Hmida National Institute of Neurology, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Olfa KaabachiKassab Institute of Orthopaedics, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Chokri KaddourMongi Ben Hmida National Institute of Neurology, Tunis, Tunisia, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe placement of central venous catheters (CVC) is a frequent procedure in intensive care. It is not devoid of complications, the diagnosis of which relied for a long time on the chest X-ray. Currently, ultrasound appears to be an interesting alternative.

aimTo report the impact of the use of ultrasound on the time to exclusion of mechanical complications after CVC placement.

methodsThis is a prospective, multicenter, comparative, double-blind study. Were included the patients in whom the placement of a CVC was decided. After placement, a chest X-ray was ordered and an ultrasound was performed to look for signs of misplacement and pneumothorax. The two examinations were interpreted by two different doctors. The primary endpoint between the ultrasound group and the RTX group was the time "T1" represented by the time required to exclude complications.

results30 patients were included in our study. The mean ultrasound T1time was significantly lower than the mean radiological T1time (p=0.000). Only one case of pneumothorax was observed. It was first detected by ultrasound. For the 29 other patients, exclusion of pneumothorax was confirmed by ultrasound and chest X-ray. No misplacement type complications detected. This was confirmed by ultrasound and radiological exclusions.

conclusionUltrasound is a faster tool than RTX in excluding mechanical complications after CVC placement. It guarantees a non-irradiating examination as efficient as chest X-ray for intensive care patients.

Indexed as

Central Venous CathetersPneumothoraxDouble-Blind MethodHumansProspective StudiesRadiographyX-Rays

Identifiers

PMID38263923
PMCPMC11157238

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Registered trials

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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.