Evidence map›Paper›PMID 41239242›Full record

Trial reportBMC anesthesiology2025

Dynamic needle tip positioning in short-axis versus long-axis ultrasound-guided arterial cannulation: a randomised controlled trial.

Maram I Elmazny, Sondos Ahmed, Sarah Afifi

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06422195 (Does the Dynamic Needle Tip Positioning Modification Technique in Short Axis Approach), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06422195 nacompletednot on this map

Does the Dynamic Needle Tip Positioning Modification Technique in Short Axis Approach (DNTP - SA) Provides a Faster Ultrasound-guided Arterial Cannulation Than Long Axis (LA) Approach: A Prospective Randomized Controlled Study

TypeinterventionalSponsorTanta UniversityRan2024 to 2024Enrolled164ConditionsDynamic Needle Tip Positioning, Short Axis, Arterial Cannulation, Long AxisArmsDynamic Needle Tip Positioning Technique in Short Axis Approach (DNTP - SA), Long Axis Approach (LA)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

3 authors.

Maram I ElmaznyAnesthesiology, Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt. maramelmazny705@gmail.com.
Sondos AhmedAnesthesiology, Intensive Care and Pain Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Sarah AfifiAnesthesiology, Intensive Care and Pain Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvancements in ultrasound-guided arterial cannulation (USG-AC) are ongoing, with evidence supporting the clinical efficacy of both short-axis (SA) and long-axis (LA) approaches. The objective was to ascertain the efficacy of dynamic needle tip positioning (DNTP) modification in SA versus LA approaches for USG-AC.

methodsIn this prospective randomised controlled trial, 164 individuals were scheduled for elective surgery requiring AC. Randomisation allocated cases to DNTP, which were received as either SA or LA. The procedure involved precise patient positioning, sterile technique, and USG.

resultsSA group demonstrated significantly shorter US location times (6.16 ± 1.99 vs. 13.65 ± 3.71 s, p < 0.001) and cannulation times (10.41 ± 3.25 vs. 29.41 ± 5.27 s, p < 0.001) compared to LA group. First-pass success rates were higher in the SA group (92.68% vs. 80.49%, p = 0.022). Complication rates were comparable between groups, with no thrombosis or nerve injury cases. Operator satisfaction was notably greater in the SA group (p = 0.007) than in the LA group.

conclusionsWith DNTP modification, the SA approach demonstrates superior efficacy and success rates than the LA approach for USG-AC while maintaining comparable safety profiles and higher operator satisfaction.

trial registrationregistering on ClinicalTrials.gov (ID: NCT06422195) URL: https://clinicaltrials.gov/study/NCT06422195?cond=NCT06422195&rank=1 (Date: 2024-05-20).

Indexed as

Catheterization, PeripheralNeedlesUltrasonography, InterventionalAdultAgedFemaleHumansMaleMiddle AgedPatient PositioningProspective StudiesArterial cannulationDynamic needle tip positioningLong-AxisRadial arteryShort-AxisUltrasound

Identifiers

PMID41239242
PMCPMC12619138

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Registered trials

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.