Evidence map›Paper›PMID 26798642›Full record

ReviewBioMed research international2015

Fluid Therapy: Double-Edged Sword during Critical Care?

Jan Benes, Mikhail Kirov, Vsevolod Kuzkov, Mitja Lainscak, Zsolt Molnar, Gorazd Voga, Xavier Monnet

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05046340 (Applicability of Fluid Responsiveness Indices in Patients With Acute Circulatory Failure), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.3field-weighted citation impact, top 4% 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.

NCT05046340 unknown statusnot on this mapstarted 2019, after this paper: background citation

Applicability of Fluid Responsiveness Indices in Patients With Acute Circulatory Failure (AFRIC Study)

TypeobservationalSponsorBicetre HospitalRan2019 to 2023Enrolled200ConditionsShock, Acute Circulatory FailureArmsPassive leg raising
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  8. Observational
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  16. Heart-lung interactions, a long story with many pioneers.Annals of translational medicine · 2018
    Article
  17. Review
  18. Article
  19. Review
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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

7 authors at 5 institutions in 5 countries.

Jan BenesDepartment of Anesthesia and Intensive Care Medicine, University Teaching Hospital and Faculty of Medicine in Plzen, Charles University Prague, Alej Svobody 80, 32300 Plzen, Czech Republic.
Mikhail KirovDepartment of Anesthesiology and Intensive Care Medicine, Northern State Medical University, Arkhangelsk 163000, Russia.
Vsevolod KuzkovDepartment of Anesthesiology and Intensive Care Medicine, Northern State Medical University, Arkhangelsk 163000, Russia.
Mitja LainscakDepartment of Cardiology and Department of Research and Education, General Hospital Celje, Oblakova 5, SI-3000 Celje, Slovenia; Faculty of Medicine, University of Ljubljana, Vrazov trg 2, SI-1000 Ljubljana, Slovenia.
Zsolt MolnarDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Szeged, 6 Semmelweis Street, Szeged 6725, Hungary.
Gorazd VogaMedical ICU, General Hospital Celje, Oblakova 5, SI-3000 Celje, Slovenia.
Xavier MonnetMedical ICU, Paris-Sud University Hospitals, Inserm UMR-S 999, Paris-Sud University, 94 270 Le Kremlin-Bicêtre, France.
College of Nursing in Celje · SINorthern State Medical University · RUCharles University · CZUniversité Paris-Sud · FRUniversity of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluid therapy is still the mainstay of acute care in patients with shock or cardiovascular compromise. However, our understanding of the critically ill pathophysiology has evolved significantly in recent years. The revelation of the glycocalyx layer and subsequent research has redefined the basics of fluids behavior in the circulation. Using less invasive hemodynamic monitoring tools enables us to assess the cardiovascular function in a dynamic perspective. This allows pinpointing even distinct changes induced by treatment, by postural changes, or by interorgan interactions in real time and enables individualized patient management. Regarding fluids as drugs of any other kind led to the need for precise indication, way of administration, and also assessment of side effects. We possess now the evidence that patient centered outcomes may be altered when incorrect time, dose, or type of fluids are administered. In this review, three major features of fluid therapy are discussed: the prediction of fluid responsiveness, potential harms induced by overzealous fluid administration, and finally the problem of protocol-led treatments and their timing.

Indexed as

Cardiovascular DiseasesFluid TherapyHemodynamicsMonitoring, PhysiologicShockCritical CareHumans

Identifiers

PMID26798642
PMCPMC4700172
OpenAlexW2258519663

What OpenQuestion holds

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LicenceCC BY
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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.