ArticleSurgery in practice and science2023
Global observational survey verifying surgeon utilization of the Validated Intraoperative Bleeding (VIBe) scale for use in clinical practice.
Article in Surgery in practice and science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07788846 (A Prospective, Randomized, Controlled, Assessor-Blinded, Three-Arm Clinical Trial Comparing Fibrillar Type-I Collagen Haemostat, Bone Wax, and Standardized Compression for Control of Cancellous Bone Marrow Bleeding Following Single-Ray Amputation), which is not on this map. Cited by 7 papers.
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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.
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.
A Prospective, Randomized, Controlled, Assessor-Blinded, Three-Arm Clinical Trial Comparing Fibrillar Type-I Collagen Haemostat, Bone Wax, and Standardized Compression for Control of Cancellous Bone Marrow Bleeding Following Single-Ray Amputation
Who cites it
7 citing papers in PubMed.
- Hemostatic therapies and ambiguous abnormal bleeding in cardiac operating rooms: A real-world, case-based evaluation of clinical practices.JTCVS open · 2026Article
- Effect of a water-soluble alkylene oxide copolymer based bone hemostat in cardiac surgery: a prospective, multicenter, single-arm study.Journal of cardiothoracic surgery · 2026Article
- Abnormal bleeding in the cardiac operating room: An observational study of interrater reliability between anesthetists and surgeons.JTCVS open · 2026Article
- Proposal for grading of intraoperative bleeding and the assessment of hemostasis quality during robot-assisted pancreatoduodenectomy.Surgical endoscopy · 2025Article
- Comparative evaluation of surgicel and gelfoam in controlling post-extraction bleeding in patients on anticoagulant therapy: a clinical study.BMC oral health · 2025Article
- Passive, Active, or Both-What Hemostats Do Surgeons Choose in the Real World, and Should We Rethink It?Medical devices (Auckland, N.Z.) · 2025Article
- When innovation meets patient blood management - a new way to see bleeding.Hematology, transfusion and cell therapyReview
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Based on US-FDA guidelines to create tools for development and evaluation of medical devices in non-clinical and clinical studies, the Validated Intraoperative Bleeding (VIBe) Scale was developed. The current investigation expands upon the earlier validation study with multi-specialty surgeons to further corroborate these findings and establish feasibility to implement VIBe SCALE into clinical practice and surveys degree of anticipated bleeding across common procedures in multiple surgical disciplines. Methods: Following online didactic VIBe SCALE training, participating surgeons graded bleeding in ten porcine model videos corresponding to the original validation study. Surgeon and practice information were collected along with percentage of hemostatic product utilization in surgical procedures, the top three surgical procedures performed in their specialty, together with self-reported percentage of bleeding per VIBe SCALE bleeding grade typically encountered in those procedures. Results: Using a web-based interface, survey data were collected from 585 participating surgeons; 339 (58%) participants were from academic or university setting, 170 (29%) had >20 years of surgical experience, 217 (37%) performed 11-20 surgeries per month. Overall, 125 (21%) surgeons reported conducting up to 10% minimally invasive surgeries in their practice. Total, 334 (57%) participants considered patient's coagulation status while selecting intraoperative adjunctive hemostatic product, if required; majority ( Conclusions: This survey strengthens the findings of the earlier validation study and provides human factors verification of the VIBe SCALE as a relevant tool to evaluate and assess bleeding severity across multiple surgical specialties, while demonstrating the useability in contemporary clinical practice and may facilitate hemostatic product choice.
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