Evidence map›Paper›PMID 41981495›Full record

SynthesisBMC anesthesiology2026

Comparison of the effects of different types of nasointestinal tube placement techniques for ICU patients: a Bayesian network meta-analysis.

Peiyi Li, Jia Peng, Mengyu He, Liqin Wang, Xu Lu, Xi Liu, Shuang Wu

Abstract readNetwork Meta-AnalysisSystematic ReviewComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Peiyi LiIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China.
Jia PengIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China.
Mengyu HeIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China.
Liqin WangIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China.
Xu LuIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China.
Xi LiuIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China.
Shuang WuIntensive Care Unit, Respiratory and Critical Care Medicine Department, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, No. 161, Shaoshan South Road, Changsha, Hunan, 410000, China. 819328892@qq.com.

Funding

Key Scientific Research Project of Changsha Central Hospital, China Y NKT202515Natural Science Foundation of Hunan 2026JJ81403
6 · The paper itself

Abstract

objectiveTo systematically compare the effectiveness and safety of different nasointestinal tube (NET) placement techniques in Intensive Care Unit (ICU) patients through a Bayesian network meta-analysis (NMA).

methodsIn accordance with PRISMA-NMA guidelines, we conducted a systematic review of randomized controlled trials (RCTs) from major English and Chinese databases, including PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, CBM, CNKI, Wanfang, and VIP. Data were analyzed within a Bayesian framework utilizing the ‘BUGSnet’ package in R, deriving relative treatment effects from posterior distributions and estimating rank probabilities. Efficacy hierarchies were established according to the surface under the cumulative ranking curve (SUCRA) values, which serve strictly as summary measures of probabilistic ordering. The assessed outcomes were placement success rate, procedure time, complication incidence rate, and direct healthcare costs.

resultsThis NMA evaluated 19 RCTs involving 1,554 ICU patients. All instrument-assisted methods demonstrated higher placement success rates than Blind placement. Of the five assessed techniques, Fluoroscopic guidance showed the highest probability of being ranked favorably for placement success and complication reduction. However, wide and overlapping credible intervals suggest comparable clinical efficacy among the instrumented modalities. Furthermore, Electromagnetic and Endoscopic placements exhibited the highest probabilities of being the most time-efficient solutions, markedly decreasing procedural duration relative to the Blind method. Importantly, sparse data yielded no statistically significant differences in direct healthcare costs, preventing definitive conclusions regarding economic differences.

conclusionsThis NMA demonstrates that instrument-guided methods are significantly superior to Blind placement for NET placement in ICU patients. While Fluoroscopic guidance holds the highest probabilistic ranking for success and safety, other instrument-guided methods offer comparable clinical benefits and high probability in minimizing procedural duration. Clinical medical professionals should prioritize instrument-assisted methods to improve patient safety and procedural efficacy, selecting the specific modality based on resource availability, local expertise, and particular clinical requirements.

Indexed as

Critical CareEnteral NutritionIntensive Care UnitsIntubation, GastrointestinalBayes TheoremHumansRandomized Controlled Trials as TopicEndoscopeFluoroscopyIntensive care unitsMagnetic navigationNasointestinal tube placementNetwork meta-analysis

Identifiers

PMID41981495
PMCPMC13192050

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.