Evidence map›Paper›PMID 17285286›Full record

ArticleIntensive care medicine2007

Hemodynamic monitoring in shock and implications for management. International Consensus Conference, Paris, France, 27-28 April 2006.

Massimo Antonelli, Mitchell Levy, Peter J D Andrews, Jean Chastre, Leonard D Hudson, Constantine Manthous, G Umberto Meduri, Rui P Moreno, Christian Putensen, Thomas Stewart and 1 more

4 registry-linked trialsOpen access · bronzeAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 125 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 5 pooled it
33.5field-weighted citation impact, top 1% of its field
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.

NCT02271477 nacompletednot on this mapstarted 2014, after this paper: background citation

Can Vena Cava Ultrasound Guided Volume Repletion Prevent Spinal Induced Significant Hypotension in Elective Surgical Patients? A Randomized, Case Control, Prospective Trial.

TypeinterventionalSponsorEnte Ospedaliero Cantonale, BellinzonaRan2014 to 2014Enrolled160ConditionsFluid Overload, Anesthesia, Adverse Effect, Spinal and Epidural, Regional Anesthesia MorbidityArmsUltrasound-guided volemic repletion
NCT02565251 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Volemic Resuscitation in Sepsis and Septic Shock

TypeinterventionalSponsorIuliu Hatieganu University of Medicine and PharmacyRan2015 to 2017Enrolled100ConditionsHemodynamic Instability, Sepsis, Septic ShockArmsFlotrac/Ev1000, Standard ICU monitorisation, VolumeView/Ev1000
NCT02645851 naterminatednot on this mapstarted 2016, after this paper: background citation

RApid Fluid Volume EXpansion (RVE) in Critically Ill Patients With Acute Circulatory Failure After the Initial Phase of Resuscitation. A Single-center, Open-label, Randomized Study Comparing 3 Strategies of RVE in Orléans, France.

TypeinterventionalSponsorCentre Hospitalier Régional d'OrléansRan2016 to 2024Enrolled98ConditionsShock, HypovolemiaArmsfluid bolus, PiCCO system (Pulsion, Germany), Vascular pressure transducers (Edwards Life Science, USA), Passive Leg Raising test
NCT06566456 nacompletednot on this mapstarted 2025, after this paper: background citation

The Impact of Modified Site for Radial Artery Cannulation on the Stability of Arterial Blood Pressure Monitoring

TypeinterventionalSponsorSixth Affiliated Hospital, Sun Yat-sen UniversityRan2025 to 2025Enrolled486ConditionsPerioperative Arterial Pressure MonitoringArmsThe puncture site is 1.5-2.5 cm proximal to the radial styloid process, traditional site
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 5 syntheses or guidelines pooled it, 465 citations in OpenAlex.

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  19. The prognostic value of delta-lactate in critically ill children.Journal of paediatrics and child health · 2023
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65 more citing papers are in PubMed but not listed here.

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

11 authors at 11 institutions in 8 countries.

Massimo AntonelliIstituto di Anestesiologia e Rianimazione, Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, 00168 Rome, Italy.
Mitchell Levy
Peter J D Andrews
Jean Chastre
Leonard D Hudson
Constantine Manthous
G Umberto Meduri
Rui P Moreno
Christian Putensen
Thomas Stewart
Antoni Torres
Bridgeport Hospital · USHarborview Medical Center · USHospital Clínic de Barcelona · ESHospital Santo António dos Capuchos · PTMount Sinai Hospital · CARhode Island Hospital · USSorbonne Université · FRUniversità Cattolica del Sacro Cuore · ITUniversity Hospital Bonn · DEUniversity of Edinburgh · GBUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveShock is a severe syndrome resulting in multiple organ dysfunction and a high mortality rate. The goal of this consensus statement is to provide recommendations regarding the monitoring and management of the critically ill patient with shock.

methodsAn international consensus conference was held in April 2006 to develop recommendations for hemodynamic monitoring and implications for management of patients with shock. Evidence-based recommendations were developed, after conferring with experts and reviewing the pertinent literature, by a jury of 11 persons representing five critical care societies. DATA SYNTHESIS: A total of 17 recommendations were developed to provide guidance to intensive care physicians monitoring and caring for the patient with shock. Topics addressed were as follows: (1) What are the epidemiologic and pathophysiologic features of shock in the ICU? (2) Should we monitor preload and fluid responsiveness in shock? (3) How and when should we monitor stroke volume or cardiac output in shock? (4) What markers of the regional and micro-circulation can be monitored, and how can cellular function be assessed in shock? (5) What is the evidence for using hemodynamic monitoring to direct therapy in shock? One of the most important recommendations was that hypotension is not required to define shock, and as a result, importance is assigned to the presence of inadequate tissue perfusion on physical examination. Given the current evidence, the only bio-marker recommended for diagnosis or staging of shock is blood lactate. The jury also recommended against the routine use of (1) the pulmonary artery catheter in shock and (2) static preload measurements used alone to predict fluid responsiveness.

conclusionsThis consensus statement provides 17 different recommendations pertaining to the monitoring and caring of patients with shock. There were some important questions that could not be fully addressed using an evidence-based approach, and areas needing further research were identified.

Indexed as

Blood PressureCritical CareFranceHumansHypotensionIntensive Care UnitsLactatesPractice Guidelines as TopicShockLactates

Identifiers

PMID17285286
OpenAlexW2107728559

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.