Evidence map›Paper›PMID 25392034›Full record

ArticleIntensive care medicine2014

Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine.

Maurizio Cecconi, Daniel De Backer, Massimo Antonelli, Richard Beale, Jan Bakker, Christoph Hofer, Roman Jaeschke, Alexandre Mebazaa, Michael R Pinsky, Jean Louis Teboul and 2 more

12 registry-linked trialsOpen access · hybridAbstract readConsensus Statement
In one paragraph

Article in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 12 registered trials, which are not on this map. Cited by 703 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
703citing papers in PubMed, 12 pooled it
90.9field-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.

NCT03078712 nacompletednot on this mapstarted 2017, after this paper: background citation

Early Goal Directed Therapy Using a Physiological Holistic View. A Multicenter Study in Latin America: The ANDROMEDA-SHOCK Study

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2017 to 2018Enrolled424ConditionsSeptic Shock, Hyperlactatemia, Peripheral PerfusionArmsPeripheral Perfusion guided resuscitation, Lactate guided resuscitation
NCT03762005 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Peripheral Perfusion Versus Lactate Targeted Fluid Resuscitation in Septic Shock: ANDROMEDA-SHOCK PHYSIOLOGY STUDY

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2018 to 2019Enrolled46ConditionsSeptic Shock, Hyperlactatemia, Peripheral PerfusionArmsCRT guided resuscitation, Lactate guided resuscitation
NCT03808753 nacompletednot on this mapstarted 2019, after this paper: background citation

Mini Fluid chAlleNge and End-expiratory Occlusion Test and to Assess flUid responsiVEness in opeRating Room: an Open-label, Randomized Clinical Trial

TypeinterventionalSponsorHumanitas Clinical and Research CenterRan2019 to 2020Enrolled103ConditionsHemodynamic Instability, Anesthesia, SurgeryArmsEnd-expiratory occlusion test (EEOT), mini fluid challenge (mFC)
NCT04319965 unknown statusnot on this mapstarted 2020, after this paper: background citation

Complications Related to Transpulmonary Thermodilution in the Intensive Care Unit and the Operating Room

TypeobservationalSponsorBicetre HospitalRan2020 to 2023Enrolled2,000ConditionsCritical Illness, Hemodynamic Instability, Septic Shock, Acute Respiratory Distress Syndrome
NCT04470856 nacompletednot on this mapstarted 2019, after this paper: background citation

Can Carotid Artery Doppler Variations Induced by End-expiratory Occlusion Manoeuvre Predict Fluid Responsiveness in Septic Shock Patients?

TypeinterventionalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2019 to 2020Enrolled20ConditionsSeptic ShockArmsEnd-expiratory occlusion test (EEOT)
NCT04660448 completednot on this mapstarted 2020, after this paper: background citation

Lung Ultrasound Score and Pediatric Intensive Care Outcomes: a Prospective Observational Multicenter Study

Typeobservational_patient_registrySponsorFundación para la Investigación Biosanitaria del Principado de AsturiasRan2020 to 2021Enrolled650ConditionsLung Injury, Extravascular Lung Water, Pulmonary Edema, Acute Respiratory Distress SyndromeArmsBedside lung ultrasound examination
NCT05336357 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Non-invasive Hemodynamic Goal-directed Therapy on the Incidence of Acute Kidney Injury in Circulatory Shock: a Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2024 to 2026Enrolled380ConditionsHemodynamics InstabilityArmsGoal-Directed Therapy
NCT05524558 unknown statusnot on this mapstarted 2022, after this paper: background citation

Assessment of the Hemodynamic Effects of PEEP According to Alveolar Recruitment During the ARDS

TypeobservationalSponsorBicetre HospitalRan2022 to 2022Enrolled34ConditionsARDS, Human, Ventilation Therapy, Complications, AlveolarArmsPulmonary artery catheter, Esophagal pressure
NCT05898126 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Personalized Hemodynamic Management Based on Serum Renin Concentration on Acute Kidney Injury Progression in Patients With Shock: a Randomized Controlled Trial.

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2025 to 2027Enrolled800ConditionsShockArmsRenin-guided hemodynamic management, Usual care
NCT06125184 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effect of Vasopressin on Kidney and Cardiac Function in Previously Hypertensive Patients With Septic Shock: A Randomized Clinical Trial

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2022 to 2025Enrolled50ConditionsKidney Injury, Acute, Cardiac Function FailedArmsVasopressor test
NCT06486467 narecruitingnot on this mapstarted 2024, after this paper: background citation

Reliability of Minimally Trained Operator's Velocity-Time Integral Measurement Guided by Artificial Intelligence (MiniTrained-VTI)

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2024 to 2026Enrolled100ConditionsVelocity-time Integral Measurement, Critically Ill Patients, Tissue HypoperfusionArmsFluid challenge (cristalloids) OR passive leg raising
NCT06727318 completednot on this mapstarted 2024, after this paper: background citation

Comparison of Capillary Refill Time and Serum Lactate Level in Predicting Disease Prognosis in Patients With Septic Shock

TypeobservationalSponsorGulhane Training and Research HospitalRan2024 to 2025Enrolled192ConditionsSepsis, Shock, Septic, Hypotensive, Lactate
3 · Its place in the literature

Who cites it

703 citing papers in PubMed, 12 syntheses or guidelines pooled it, 1,738 citations in OpenAlex.

  1. Pooled it
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  3. 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 11. First aid.Clinical and experimental emergency medicine · 2026
    Guideline
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643 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 8 countries.

Maurizio CecconiAnaesthesia and Intensive Care, St George's Hospital and Medical School, SW17 0QT, London, UK, mcecconi@sgul.ac.uk.
Daniel De Backer
Massimo Antonelli
Richard Beale
Jan Bakker
Christoph Hofer
Roman Jaeschke
Alexandre Mebazaa
Michael R Pinsky
Jean Louis Teboul
Jean Louis Vincent
Andrew Rhodes
St George's Hospital · GBUniversité Libre de Bruxelles · BEAgostino Gemelli University Polyclinic · ITAssistance Publique – Hôpitaux de Paris · FRErasmus MC · NLGuy's and St Thomas' NHS Foundation Trust · GBInserm · FRMcMaster University · CATriemli Hospital · CHUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCirculatory shock is a life-threatening syndrome resulting in multiorgan failure and a high mortality rate. The aim of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock.

methodsThe European Society of Intensive Care Medicine invited 12 experts to form a Task Force to update a previous consensus (Antonelli et al.: Intensive Care Med 33:575-590, 2007). The same five questions addressed in the earlier consensus were used as the outline for the literature search and review, with the aim of the Task Force to produce statements based on the available literature and evidence. These questions were: (1) What are the epidemiologic and pathophysiologic features of shock in the intensive care unit? (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 microcirculation 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? Four types of statements were used: definition, recommendation, best practice and statement of fact.

resultsForty-four statements were made. The main new statements include: (1) statements on individualizing blood pressure targets; (2) statements on the assessment and prediction of fluid responsiveness; (3) statements on the use of echocardiography and hemodynamic monitoring.

conclusionsThis consensus provides 44 statements that can be used at the bedside to diagnose, treat and monitor patients with shock.

Indexed as

Blood PressureCardiac OutputCritical CareEchocardiographyEuropeGuidelines as TopicHemodynamicsHumansMonitoring, PhysiologicShock, SepticSocieties, MedicalStroke Volume

Identifiers

PMID25392034
PMCPMC4239778
OpenAlexW2067090053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 6 more above

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.