Evidence map›Paper›PMID 39558217›Full record

ArticleTrials2024

Mixed reality-assisted versus landmark-guided spinal puncture in elderly patients: protocol for a stratified randomized controlled trial.

Lei Gao, Haichao Zhang, Yidi Xu, Yanjun Dong, Lu Sheng, Yongqian Fan, Chunhui Qin, Weidong Gu

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 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
–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

2 citing papers in PubMed.

  1. Review
  2. Extended Reality for Neuraxial Procedures: A Scoping Review.Journal of medical extended reality · 2024
    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

8 authors.

Lei Gao *Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China.
Haichao Zhang *Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China.
Yidi XuDepartment of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China.
Yanjun DongDepartment of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China.
Lu ShengDepartment of Urology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China.
Yongqian FanDepartment of Orthopedics, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China.
Chunhui QinDepartment of Pain Management, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China. drqch88@163.com.
Weidong GuDepartment of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, China. hdmz0800@163.com.ORCID http://orcid.org/0000-0002-7005-8924

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerforming spinal anesthesia in elderly patients with spine degeneration is challenging for novice practitioners. This stratified randomized controlled trial aims to compare the effectiveness of mixed reality-assisted spinal puncture (MRasp) with that of landmark-guided spinal puncture (LGsp) performed by novice practitioners in elderly patients.

methodsThis prospective, single-center, stratified, blocked, parallel randomized controlled trial will include 168 patients (aged ≥ 65 years) scheduled for elective surgery involving spinal anesthesia. All spinal punctures will be performed by anesthesiology interns and residents trained at Huadong Hospital. Patients will be randomly assigned to the MRasp group (n = 84) or the LGsp group (n = 84). Based on each intern/resident's experience in spinal puncture, participants will be stratified into three clusters: the primary group, intermediate group, and advanced group. The primary outcome will be the comparison of the rate of successful first-attempt needle insertion between the MRasp group and the LGsp group. Secondary outcomes will include the number of needle insertion attempts, the number of redirection attempts, the number of passes, the rate of successful first needle pass, the spinal puncture time, the total procedure time, and the incidence of perioperative complications. A stratified subgroup analysis will also be conducted for interns/residents at different experience levels. DISCUSSION: The findings from this trial establish the effectiveness of MRasp by novice practitioners in elderly patients. This trial may provide experimental evidence for exploring an effective visualization technology to assist in spinal puncture.

trial registrationChinese Clinical Trials Registry ChiCTR2300075291. Registered on August 31, 2023. https://www.chictr.org.cn/bin/project/edit?pid=189622 .

Indexed as

Anesthesia, SpinalRandomized Controlled Trials as TopicSpinal PunctureAgedAge FactorsAnatomic LandmarksChinaClinical CompetenceFemaleHumansInternship and ResidencyMaleProspective StudiesTreatment OutcomeAugmented realityComputer simulationMixed realitySpinal puncture

Identifiers

PMID39558217
PMCPMC11575154

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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.