The Experts below are selected from a list of 285 Experts worldwide ranked by ideXlab platform
Wanjie Gu - One of the best experts on this subject based on the ideXlab platform.
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ultrasound guidance facilitates radial Artery Catheterization a meta analysis with trial sequential analysis of randomized controlled trials
Chest, 2016Co-Authors: Wanjie Gu, Fei Wang, Xiangdong Wu, Xiaoping GuAbstract:Background Potential benefits and possible risks associated with ultrasound guidance compared with traditional palpation for radial Artery Catheterization are not fully understood. Methods We searched PubMed, Embase, and the Cochrane Library through July 2015 to identify randomized controlled trials that evaluated ultrasound guidance compared with traditional palpation for radial Artery Catheterization. Primary outcome was first-attempt failure. Secondary outcomes included mean attempts to success, mean time to success, and hematoma complications. A random-effects model was used to estimate relative risks (RRs) with 95% CIs. Results Twelve trials used dynamic two-dimensional (2-D) ultrasound guidance (N = 1,992) and two used Doppler ultrasound guidance (N = 666). Compared with traditional palpation, dynamic 2-D ultrasound guidance was associated with a reduced first-attempt failure (RR, 0.68; 95% CI, 0.52-0.87). Trial sequential analysis showed that the cumulative z curve crossed the trial sequential monitoring boundary for benefit establishing sufficient and conclusive evidence. Dynamic 2-D ultrasound guidance further reduced mean attempts to success, mean time to success, and hematoma complications. No evidence of publication bias was detected. Compared with traditional palpation, Doppler ultrasound guidance had no benefit on first-attempt failure (RR, 1.00; 95% CI, 0.87-1.15), which was confirmed by trial sequential analysis as the cumulative z curve entered the futility area. Conclusions The use of dynamic 2-D ultrasound guidance for radial Artery Catheterization decreases first-attempt failure, mean attempts to success, mean time to success, and the occurrence of hematoma complications. Dynamic 2-D ultrasound guidance is recommended as an adjunct to aid radial arterial Catheterization.
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efficacy of ultrasound guided radial Artery Catheterization a systematic review and meta analysis of randomized controlled trials
Critical Care, 2014Co-Authors: Wanjie Gu, Xiantao ZengAbstract:Introduction Ultrasound guidance has emerged as an adjunct for central vein Catheterization in both adults and children. However, the use of ultrasound guidance for radial arterial Catheterization has not been well established. We conducted a systematic review and meta-analysis to evaluate the efficacy of ultrasound guidance for radial Artery Catheterization.
Lingjun Zhou - One of the best experts on this subject based on the ideXlab platform.
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ultrasound guidance for radial Artery Catheterization an updated meta analysis of randomized controlled trials
PLOS ONE, 2014Co-Authors: Lu Tang, Fei Wang, Yuxiang Li, Liang Zhao, Huijun Xi, Xiuyun Li, Jian Wang, Lingjun ZhouAbstract:Background Since a previous meta-analysis reported that ultrasound guidance was associated with a higher first-attempt success rate in Catheterization of the radial Artery, a number of randomized controlled trials (RCTs) have reported inconsistent results. The aim of the present study is to conduct an updated meta-analysis to clarify the role of ultrasound guidance for radial Artery Catheterization.
Xiantao Zeng - One of the best experts on this subject based on the ideXlab platform.
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efficacy of ultrasound guided radial Artery Catheterization a systematic review and meta analysis of randomized controlled trials
Critical Care, 2014Co-Authors: Wanjie Gu, Xiantao ZengAbstract:Introduction Ultrasound guidance has emerged as an adjunct for central vein Catheterization in both adults and children. However, the use of ultrasound guidance for radial arterial Catheterization has not been well established. We conducted a systematic review and meta-analysis to evaluate the efficacy of ultrasound guidance for radial Artery Catheterization.
Fei Wang - One of the best experts on this subject based on the ideXlab platform.
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ultrasound guidance facilitates radial Artery Catheterization a meta analysis with trial sequential analysis of randomized controlled trials
Chest, 2016Co-Authors: Wanjie Gu, Fei Wang, Xiangdong Wu, Xiaoping GuAbstract:Background Potential benefits and possible risks associated with ultrasound guidance compared with traditional palpation for radial Artery Catheterization are not fully understood. Methods We searched PubMed, Embase, and the Cochrane Library through July 2015 to identify randomized controlled trials that evaluated ultrasound guidance compared with traditional palpation for radial Artery Catheterization. Primary outcome was first-attempt failure. Secondary outcomes included mean attempts to success, mean time to success, and hematoma complications. A random-effects model was used to estimate relative risks (RRs) with 95% CIs. Results Twelve trials used dynamic two-dimensional (2-D) ultrasound guidance (N = 1,992) and two used Doppler ultrasound guidance (N = 666). Compared with traditional palpation, dynamic 2-D ultrasound guidance was associated with a reduced first-attempt failure (RR, 0.68; 95% CI, 0.52-0.87). Trial sequential analysis showed that the cumulative z curve crossed the trial sequential monitoring boundary for benefit establishing sufficient and conclusive evidence. Dynamic 2-D ultrasound guidance further reduced mean attempts to success, mean time to success, and hematoma complications. No evidence of publication bias was detected. Compared with traditional palpation, Doppler ultrasound guidance had no benefit on first-attempt failure (RR, 1.00; 95% CI, 0.87-1.15), which was confirmed by trial sequential analysis as the cumulative z curve entered the futility area. Conclusions The use of dynamic 2-D ultrasound guidance for radial Artery Catheterization decreases first-attempt failure, mean attempts to success, mean time to success, and the occurrence of hematoma complications. Dynamic 2-D ultrasound guidance is recommended as an adjunct to aid radial arterial Catheterization.
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ultrasound guidance for radial Artery Catheterization an updated meta analysis of randomized controlled trials
PLOS ONE, 2014Co-Authors: Lu Tang, Fei Wang, Yuxiang Li, Liang Zhao, Huijun Xi, Xiuyun Li, Jian Wang, Lingjun ZhouAbstract:Background Since a previous meta-analysis reported that ultrasound guidance was associated with a higher first-attempt success rate in Catheterization of the radial Artery, a number of randomized controlled trials (RCTs) have reported inconsistent results. The aim of the present study is to conduct an updated meta-analysis to clarify the role of ultrasound guidance for radial Artery Catheterization.
Tatsuo Nakamoto - One of the best experts on this subject based on the ideXlab platform.
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In-line positioning of ultrasound images using wireless remote display system with tablet computer facilitates ultrasound-guided radial Artery Catheterization
Journal of Clinical Monitoring and Computing, 2016Co-Authors: Masahiko Tsuchiya, Koh Mizutani, Yusuke Funai, Tatsuo NakamotoAbstract:Ultrasound-guided procedures may be easier to perform when the operator's eye axis, needle puncture site, and ultrasound image display form a straight line in the puncture direction. However, such methods have not been well tested in clinical settings because that arrangement is often impossible due to limited space in the operating room. We developed a wireless remote display system for ultrasound devices using a tablet computer (iPad Mini), which allows easy display of images at nearly any location chosen by the operator. We hypothesized that the in-line layout of ultrasound images provided by this system would allow for secure and quick Catheterization of the radial Artery. We enrolled first-year medical interns (n = 20) who had no prior experience with ultrasound-guided radial Artery Catheterization to perform that using a short-axis out-of-plane approach with two different methods. With the conventional method, only the ultrasound machine placed at the side of the head of the patient across the targeted forearm was utilized. With the tablet method, the ultrasound images were displayed on an iPad Mini positioned on the arm in alignment with the operator's eye axis and needle puncture direction. The success rate and time required for Catheterization were compared between the two methods. Success rate was significantly higher (100 vs. 70 %, P = 0.02) and Catheterization time significantly shorter (28.5 ± 7.5 vs. 68.2 ± 14.3 s, P
