Evidence map›Paper›PMID 41395137›Full record

ArticleIndian journal of anaesthesia2025

Comparison between ultrasound-guided dynamic needle tip positioning and palpation technique for radial artery cannulation: Systematic review and meta-analysis.

Aanchal Purohit, Niraj Kumar, Ashish Bindra, Keshav Goyal, Sharmishtha Pathak

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

5 authors.

Aanchal PurohitResearch Associate, Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-9550-2972
Niraj KumarProfessor, Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-8728-0740
Ashish BindraProfessor, Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-5685-2833
Keshav GoyalProfessor, Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-9139-0689
Sharmishtha PathakAssistant Professor, Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0003-2154-7921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The dynamic needle tip positioning (DNTP) technique has recently been introduced, but the effectiveness of the DNTP and traditional palpation methods for radial artery cannulation remains unknown. Therefore, we conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) to compare the effectiveness and safety of ultrasound-guided DNTP and palpation techniques during radial artery cannulation in patients undergoing elective surgery. Methods: We conducted a thorough search of electronic databases from inception through 31 January 2025 to identify relevant studies. We searched PubMed, Embase, Cochrane Library, and Web of Science and identify relevant studies. RCTs comparing US-guided DNTP versus the palpation method in all age groups requiring radial artery cannulation were included. The primary outcome was the first attempt success rate. Secondary outcomes included overall success rate, cannulation time, and incidence of complications. Statistical analysis was performed using RevMan software. Results: A total of six studies with 388 participants were included. Our meta-analysis showed a higher first-pass success rate in the DNTP group compared to the palpation group (Risk Ratio = 1.44; 95% Confidence Interval: 1.19, 1.73). We also observed a higher overall success rate in the DNTP group. Cannulation times were similar between the two groups. Meta-analysis indicated a lower complication rate in the DNTP group compared to the palpation group. Conclusion: This meta-analysis showed a higher first-pass success rate and overall success rate and fewer complications in the DNTP group compared to the traditional palpation group during radial artery cannulation. Additionally, there was no significant difference in cannulation time between the two groups.

Indexed as

Cannulationdynamic needle tip positioningmeta-analysispalpation techniqueradial arterytrial sequential analysisultrasound-guided

Identifiers

PMID41395137
PMCPMC12700477

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Registered trials

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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.