Evidence map›Paper›PMID 38368367›Full record

ArticleEuropean journal of medical research2024

Enhancing tube feeding method for neurosurgery: the application of improved PICC technique.

Huiwen Wu, Yuru Qiu, Yucui Wang, Jiarong Li, Yihong Qiu

Open access · goldAbstract read
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Article in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Huiwen Wu *Department of Neurosurgery, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China. wuhuiwen@mail.sysu.edu.cn.
Yuru Qiu *Department of Nursing, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Yucui WangDepartment of Surgery, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Jiarong LiDepartment of Neurosurgery, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Yihong QiuDepartment of Nursing, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China. qiuyh@mail.sysu.edu.cn.
Sun Yat-sen Memorial Hospital · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePeripherally inserted central catheter (PICC) used in neurosurgical patients requires changes in patients' head positions. However, such changes can worsen pressure on the brain tissue, lead to sudden acute brain herniation and respiratory arrest, resulting in a higher chance of patient death. This paper addresses the aforementioned problems by introducing a new PICC catheterization method.

methodIn a retrospective study, the records of patients with PICC from April 2020 to April 2023 were reviewed, and they were divided into three groups based on the methods employed. The first group as the conventional group, involved changing patients' body positions during catheterization. The second group, as the intracavitary electrocardiographic (IECG) group, utilized intracavitary electrocardiographic monitoring and involved changing patients' body positions during catheterization. The third group as the intracavitary electrocardiographic with improved body positioning (IECG-IBP) group, catheterization was performed with guidance from intracavitary electrocardiographs and without changing the patients' body positions. The ECG changes among patients undergoing different catheter delivery methods were then compared, as well as the rate of catheter tip misplacement.

resultThe study encompassed a total of 354 cases. Our findings reveal distinct P wave amplitude percentages among the groups: 0% in the conventional group, 88.46% in the IECG group, and 91.78% in the IECG-IBP group. Furthermore, the following catheter tip misplacement rates were recorded: 11.54% for the conventional group, 5.39% for the IECG group, and 5.47% for the IECG-IBP group. Significantly notable differences were observed in these two key indicators between the conventional group and the IECG-IBP group. Notably, the IECG-IBP group demonstrated a more favorable outcome compared to the IECG group.

conclusionIn patients with neurosurgical diseases, especially those with tracheostomy and nuchal stiffness, the IECG-IBP PICC catheter insertion method can effectively reduce the patient's neck resistance, does not increase the patient's headache and dizziness symptoms, and does not reduce the success of one-time catheterization. Rate and does not increase the incidence of jugular venous ectopia.

Indexed as

Catheterization, Central VenousCentral Venous CathetersNeurosurgeryElectrocardiographyFeeding MethodsHumansRetrospective StudiesCatheterizationCatheter tip misplacement rateIntracavitary ECGPICCP wave amplitude change

Identifiers

PMID38368367
PMCPMC10873980
OpenAlexW4391898983

What OpenQuestion holds

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LicenceCC BY
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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.