Evidence map›Paper›PMID 39641796›Full record

ArticleJournal of anesthesia2025

Appropriate tourniquet pressure for peripherally inserted central catheter placement in the upper arm.

Mami Tsubota, Marechika Tsubouchi, Yuka Miyazaki, Kenji Iwai, Tetsu Miyoshi, Tsukasa Yajima, Ryohei Matsui, Yota Yamagishi, Asako Matsushima, Tomonori Hattori and 1 more

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Article in Journal of anesthesia, 2025. 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. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Mami TsubotaDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan. mamitsubota@gmail.com.ORCID http://orcid.org/0009-0002-6005-4548
Marechika TsubouchiDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Yuka MiyazakiDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Kenji IwaiDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Tetsu MiyoshiDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Tsukasa YajimaDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Ryohei MatsuiDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Yota YamagishiDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Asako MatsushimaDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences and Medical School, Nagoya, Aichi, Japan.
Tomonori HattoriDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Hiroshi SasanoDepartment of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.

Funding

the Young Investigator Clinical Research Incentive Fund of Nagoya Co-Creation Research Fund, Nagoya City University 2023-025
6 · The paper itself

Abstract

purposeA peripherally inserted central catheter (PICC) placement often requires ultrasound guidance. Previous studies using an adult blood pressure cuff have suggested that veins do not easily collapse at the tourniquet pressure from diastolic to systolic blood pressure. When inserting a PICC into the basilic vein of the upper arm, a narrow blood pressure cuff should be used as a tourniquet to avoid concealing the puncture site. The aim of this study was to determine the appropriate tourniquet pressure using a narrow cuff when inserting a PICC into the upper arm.

methodsWe measured the upper arm's blood pressure of seven healthy participants using a pediatric cuff and applied pressure to the upper arm with the pediatric cuff at six levels: 0 mmHg (0), half of the diastolic pressure (D/2), diastolic pressure (D), pressure obtained by combining the systolic and diastolic pressures and dividing by two (DS), systolic pressure (S), and blood pressure as the pulse wave disappears (S + α). An ultrasound probe compressed the basilic vein through the skin. The pressure at which the vein collapsed at each tourniquet pressure was examined.

resultsThe venous collapse pressure was higher when the tourniquet pressure was D, DS, or S.

conclusionD to S is appropriate for PICC placement in the basilic vein of the upper arm in terms of venous collapse.

Indexed as

ArmCatheterization, Central VenousCatheterization, PeripheralTourniquetsAdultBlood PressureFemaleHumansMaleUltrasonography, InterventionalYoung AdultPeripherally inserted central catheter line insertionPeripheral venous catheterizationsTourniquets

Identifiers

PMID39641796

What OpenQuestion holds

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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.