Evidence map›Paper›PMID 42359370›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2026

Sengstaken-Blakemore Tube Placement: A Simulation-Based Training Program for a High-Acuity, Low-Frequency Procedure.

Carolyn Wilson, Ceena Chandrabos, Katie Shen, Manu Venkat, Deepak Pradhan, Adam Goodman, Renee Williams, Catherine Uy

Abstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 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

8 authors.

Carolyn WilsonResident, Department of Medicine, New York University Langone Health.ORCID https://orcid.org/0000-0001-5971-7717
Ceena ChandrabosAssistant Professor, Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health.
Katie ShenFellow, Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health.
Manu VenkatFellow, Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health.
Deepak PradhanAssociate Professor, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, New York University Langone Health.
Adam GoodmanSection Chief, Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health.
Renee WilliamsAssociate Professor, Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health.
Catherine UyClinical Instructor, Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Variceal hemorrhage is a severe and often fatal consequence of portal hypertension from liver cirrhosis. Although endoscopic and radiographic interventions have largely replaced balloon tamponade, the Sengstaken-Blakemore tube (SBT) remains a critical salvage therapy. However, declining use has led to limited provider experience and familiarity with SBT placement and management. Methods: We implemented a hands-on, manikin-based simulation program for fellows and attendings from gastroenterology and critical care to improve provider familiarity with SBT placement and management. Standardized SBT kits were developed and distributed across all sites. Annual simulation sessions included presession didactics, live demonstrations, and small-group hands-on practice. Pre- and postsession surveys assessed self-reported confidence in SBT placement, management, and removal using a 5-point Likert scale. A Wilcoxon signed-rank test analyzed changes in confidence. Results: Fifty-four participants participated in 2023. Prior to training, only 20% of participants reported having received any formal instruction on SBT placement or management and 39% had never placed an SBT in a real-life scenario. Confidence in SBT placement (mean 3.00-4.30), management (1.78-4.31), and removal (2.17-4.43) significantly increased after the simulation. Discussion: This simulation-based intervention was associated with improved self-reported confidence in SBT placement, management, and removal for a high-acuity, low-frequency procedure. Given interest, emergency medicine, surgery, and internal medicine were included in subsequent years. Our results underscore the importance of structured training in bridging knowledge and skill gaps across gastroenterology and critical care disciplines. Future work should assess long-term retention and explore curriculum integration.

Indexed as

Gastrointestinal HemorrhageIntubation, GastrointestinalSimulation TrainingClinical CompetenceCurriculumEsophageal and Gastric VaricesGastroenterologyHumansManikinsSurveys and QuestionnairesBlakemoreClinical/Procedural Skills TrainingCompetency-Based Medical EducationCritical Care MedicineEsophageal VaricesGastroenterologyQuality Improvement/Patient SafetySimulation

Identifiers

PMID42359370
PMCPMC13291162

What OpenQuestion holds

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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.