Evidence map›Paper›PMID 20920151›Full record

ArticleCritical care (London, England)2010

Inotropes in goal-directed therapy: do we need 'goals'?

Emmanuel Futier, Benoit Vallet

Registry-linked trialAbstract readComment
In one paragraph

Article in Critical care (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02629250 (A Randomized Controlled Study of Supernormal Oxygen Delivery Goal-directed Therapy for Elderly Patients Undergoing Proximal Femoral Surgery.), which is not on this 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.

NCT02629250 naunknown statusnot on this mapstarted 2015, after this paper: background citation

A Randomized Controlled Study of Supernormal Oxygen Delivery Goal-directed Therapy for Elderly Patients Undergoing Proximal Femoral Surgery.

TypeinterventionalSponsorGuangzhou First People's HospitalRan2015 to 2017Enrolled70ConditionsFemoral FracturesArmsSV maximization, supernormal DO2
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Fluid resuscitation in hemorrhage].Der Anaesthesist · 2014
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Emmanuel FutierDepartment of Anaesthesiology and Critical Care Medicine, CHU Estaing, University Hospital of Clermont-Ferrand, 1 place Lucie Aubrac, 63003 Clermont-Ferrand Cedex 1 France. efutier@chu-clermontferrand.fr
Benoit Vallet

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is substantial evidence to demonstrate the benefits of goal-directed hemodynamic optimization using fluid loading or inotropic support or both to improve outcome during major surgery. However, until now, only limited pathophysiological data have been available to explain this benefit. The maintenance of adequate tissue perfusion and global oxygen delivery is an essential goal for therapy. In an interesting study, Jhanji and colleagues provided additional data that emphasize the roles of optimization of intravascular fluid status and low doses of inotropes to improve microvascular blood flow and tissue oxygenation. This commentary aims to highlight some issues raised by this important study and provides additional elements to further position these results.

Indexed as

GoalsCardiotonic AgentsHemodynamicsHumansOxygen Inhalation TherapyPostoperative ComplicationsCardiotonic Agents

Identifiers

PMID20920151
PMCPMC3219255

What OpenQuestion holds

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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.