Evidence map›Paper›PMID 24722057›Full record

ReviewCurrent opinion in critical care2014

Functional haemodynamic monitoring.

Michael R Pinsky

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in critical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
10.3field-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.

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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.

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  15. Intraoperative hypotension and its prediction.Indian journal of anaesthesia · 2019
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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

1 author at 1 institution in 1 country.

Michael R PinskyDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · US

Funding

Predicting Patient Instability Noninvasively for Nursing Care-Two (PPINNC-2)R01NR013912 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AL-ZAITI, SALAH S, CLERMONT, GILLES · 2012 to 2025
$7.0M
Heart-Lung Interactions &Cardiovascular InsufficiencyK24HL067181 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PINSKY, MICHAEL R · 2002 to 2011
$1.4M
NHLBI NIH HHS K24 HL067181NINR NIH HHS R01 NR013912
6 · The paper itself

Abstract

purpose of reviewFunctional haemodynamic monitoring is the assessment of the dynamic interactions of haemodynamic variables in response to a defined perturbation. RECENT

findingsFluid responsiveness can be predicted during positive pressure breathing by variations in venous return or left ventricular output using numerous surrogate markers, such as arterial pulse pressure variation (PPV), left ventricular stroke volume variation (SVV), aortic velocity variation, inferior and superior vena cavae diameter changes and pulse oximeter pleth signal variability. Similarly, dynamic changes in cardiac output to a passive leg raising manoeuvre can be used in any patient and measured invasively or noninvasively. However, volume responsiveness, though important, reflects only part of the overall spectrum of functional physiological variables that can be measured to define physiologic state and monitor response to therapy. The ratio of PPV to SVV defines central arterial elastance and can be used to identify those hypotensive patients who will not increase their blood pressure in response to a fluid challenge despite increasing cardiac output. Dynamic tissue O2 saturation (StO2) responses to complete stop flow conditions, as can be created by measuring hand StO2 and occluding flow with a blood pressure cuff, assesses cardiovascular sufficiency and micro-circulatory blood flow distribution. They can be used to identify those ventilator-dependent individuals who will fail a spontaneous breathing trial or trauma patients in need of life-saving interventions. SUMMARY: Functional haemodynamic monitoring approaches are increasing in numbers, conditions in which they are useful and resuscitation protocol applications. This is a rapidly evolving field whose pluripotential is just now being realized.

Indexed as

HemodynamicsMonitoring, PhysiologicBlood PressureCardiac OutputCardiovascular DiseasesFemaleFluid TherapyHumansMalePredictive Value of TestsRegional Blood FlowRespiration, ArtificialResuscitationStroke Volume

Identifiers

PMID24722057
PMCPMC4324536
OpenAlexW2089600779

What OpenQuestion holds

Textmetadata
LicenceTDM
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.