Evidence map›Paper›PMID 29744563›Full record

ReviewIntensive care medicine2018

Diagnostic workup, etiologies and management of acute right ventricle failure : A state-of-the-art paper.

Antoine Vieillard-Baron, R Naeije, F Haddad, H J Bogaard, T M Bull, N Fletcher, T Lahm, S Magder, S Orde, G Schmidt and 1 more

4 registry-linked trialsOpen access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2018. 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 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
15.4field-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.

NCT04092855 unknown statusnot on this map

Early Identification and Prediction of Right Ventricular Dysfunction and Failure in Critically Ill Patients: An Observational Non-Interventional Cohort Study

TypeobservationalSponsorMontreal Heart InstituteRan2018 to 2024Enrolled112ConditionsRight Ventricular Dysfunction, Right Heart Failure, Congestive Heart Failure
NCT05211765 unknown statusnot on this mapstarted 2021, after this paper: background citation

Association of Respiratory Variation of Superior Vena Cava in Transthoracic View and Fluid Responsiveness in Critically Ill Patients

TypeobservationalSponsorUniversity of ChileRan2021 to 2024Enrolled100ConditionsShockArmsSuperior vena cava transthoracic evaluation
NCT05948332 completednot on this mapstarted 2023, after this paper: background citation

Definition and Management of Right Ventricular Injury in Adult Patients Receiving Extracorporeal Membrane Oxygenation for Respiratory Support Using the Delphi Method: A PRORVnet - Expert Consensus Statements

TypeobservationalSponsorPrashant NasaRan2023 to 2024Enrolled52ConditionsExtracorporeal Circulation, Complications, Extracorporeal Membrane Oxygenation Complication, Right Heart FailureArmsDelphi Rounds to generate consensus opinions among Experts
NCT05975086 unknown statusnot on this mapstarted 2023, after this paper: background citation

Right Ventricle Dysfunction in Critically Ill Patients

TypeobservationalSponsorAssiut UniversityRan2023 to 2024Enrolled200ConditionsRight Ventricular Dysfunction
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 213 citations in OpenAlex.

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29 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 10 institutions in 6 countries.

Antoine Vieillard-BaronService de Réanimation, Assistance Publique-Hôpitaux de Paris, University Hospital Ambroise Paré, 92100, Boulogne-Billancourt, France. antoine.vieillard-baron@aphp.fr.
R NaeijeProfessor Emeritus at the Université Libre de Bruxelles, Brussels, Belgium.
F HaddadDivision of Cardiovascular Medicine, Stanford Cardiovascular Institute, Stanford, USA.
H J BogaardDepartment of Pulmonary Medicine, VU University Medical Center, Amsterdam, The Netherlands.
T M BullDivision of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
N FletcherDepartment of Cardiothoracic Critical Care, St Georges University Hospital NHS Trust, London, SW17 0QT, UK.
T LahmDivision of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University School of Medicine and Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
S MagderDepartment of Critical Care, McGill University Health Centre, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada.
S OrdeIntensive Care Unit, Nepean Hospital, Kingswood, Sydney, NSW, Australia.
G SchmidtDepartment of Internal Medicine and Critical Care, University of Iowa, Iowa City, USA.
M R PinskyDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, USA.
Amsterdam UMC Location VUmc · NLCardiovascular Institute of the South · USHôpital Ambroise-Paré · FRIndiana University – Purdue University Indianapolis · USMcGill University Health Centre · CANepean Hospital · AUUniversité Libre de Bruxelles · BEUniversity of Colorado Anschutz Medical Campus · USUniversity of Iowa · USUniversity of Pittsburgh · US

Funding

Hypoxia-mediated protective estrogen receptor signaling in pulmonary hypertensionI01BX002042 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI Tim Lahm · 2014 to 2026
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BLRD VA I01 BX002042
6 · The paper itself

Abstract

introductionThis is a state-of-the-art article of the diagnostic process, etiologies and management of acute right ventricular (RV) failure in critically ill patients. It is based on a large review of previously published articles in the field, as well as the expertise of the authors.

resultsThe authors propose the ten key points and directions for future research in the field. RV failure (RVF) is frequent in the ICU, magnified by the frequent need for positive pressure ventilation. While no universal definition of RVF is accepted, we propose that RVF may be defined as a state in which the right ventricle is unable to meet the demands for blood flow without excessive use of the Frank-Starling mechanism (i.e. increase in stroke volume associated with increased preload). Both echocardiography and hemodynamic monitoring play a central role in the evaluation of RVF in the ICU. Management of RVF includes treatment of the causes, respiratory optimization and hemodynamic support. The administration of fluids is potentially deleterious and unlikely to lead to improvement in cardiac output in the majority of cases. Vasopressors are needed in the setting of shock to restore the systemic pressure and avoid RV ischemia; inotropic drug or inodilator therapies may also be needed. In the most severe cases, recent mechanical circulatory support devices are proposed to unload the RV and improve organ perfusion

conclusionRV function evaluation is key in the critically-ill patients for hemodynamic management, as fluid optimization, vasopressor strategy and respiratory support. RV failure may be diagnosed by the association of different devices and parameters, while echocardiography is crucial.

Indexed as

AdultAgedAged, 80 and overCritical IllnessFemaleHeart VentriclesHumansMaleMiddle AgedVentricular Dysfunction, RightCritically ill patientsEchocardiographyPulmonary hypertensionRight ventricle failureShock

Identifiers

PMID29744563
OpenAlexW2800856078

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.