Evidence map›Paper›PMID 30456467›Full record

ArticleIntensive care medicine2019

Fluid administration for acute circulatory dysfunction using basic monitoring: narrative review and expert panel recommendations from an ESICM task force.

Maurizio Cecconi, Glenn Hernandez, Martin Dunser, Massimo Antonelli, Tim Baker, Jan Bakker, Jacques Duranteau, Sharon Einav, A B Johan Groeneveld, Tim Harris and 9 more

Erratum issued Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04693923 (Capillary Refill Time Response to a Rapid Fluid Challenge in Septic Shock Patients), which is not on this map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–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.

NCT04693923 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Capillary Refill Time Response to a Rapid Fluid Challenge in Septic Shock Patients: Pathophysiological Determinants, and Relation to Changes in Systemic, Regional and Microcirculatory Blood Flow

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2021 to 2023Enrolled42ConditionsSeptic ShockArmsFluid challenge
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Review
  6. Observational
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  8. Article
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  15. Observational
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  17. Article
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  19. Evolving Management Practices for Early Sepsis-induced Hypoperfusion: A Narrative Review.American journal of respiratory and critical care medicine · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Maurizio CecconiHumanitas Clinical and Research Center, Milan, Italy. maurizio.cecconi@humanitas.it.ORCID 0000-0002-4376-6538
Glenn HernandezDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Martin DunserDepartment of Anesthesiology and Intensive Care Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Massimo AntonelliDepartment of Anesthesiology and Intensive Care, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Largo Agostino Gemelli, 8, 00168, Rome, Italy.
Tim BakerCollege of Medicine, Blantyre, Malawi.
Jan BakkerDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jacques DuranteauLaboratoire d'Etude de la Microcirculation, UMR 942, Université Paris 7, Hôpitaux Saint Louis Lariboisière, Assistance Publique-Hôpitaux de Paris, Paris, France.
Sharon EinavDepartment of Anesthesia , Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
A B Johan GroeneveldInstitute for Cardiovascular Research ICaR-VU, VU University Medical Center, Amsterdam, The Netherlands.
Tim HarrisEmergency Department, Royal London Hospita, Barts Health NHS Trust, London, UK.
Sameer JogDeenanath Mangeshkar Hospital and Research center, Pune, India.
Flavia R MachadoAnesthesiology, Pain, and Intensive Care Department, Universidade Federal de São Paulo, São Paulo, Brazil.
Mervyn MerDepartment of Medicine, Divisions of Critical Care and Pulmonology, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
M Ignacio Monge GarcíaUnidad de Cuidados Intensivos, Hospital SAS de Jerez, Jerez de La Frontera, Spain.
Sheila Nainan MyatraDepartment of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, India.
Anders PernerDepartment of Intensive Care, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Jean-Louis TeboulHôpitaux universitaires Paris-Sud, Hôpital de Bicêtre, service de réanimation médicale, 78, rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Jean-Louis VincentDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Daniel De BackerDepartment of Intensive Care, CHIREC Hospitals, Université Libre de Bruxelles, 35 Rue Wayez, 1420, Braine L'Alleud, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An international team of experts in the field of fluid resuscitation was invited by the ESICM to form a task force to systematically review the evidence concerning fluid administration using basic monitoring. The work included a particular emphasis on pre-ICU hospital settings and resource-limited settings. The work focused on four main questions: (1) What is the role of clinical assessment to guide fluid resuscitation in shock? (2) What basic monitoring is required to perform and interpret a fluid challenge? (3) What defines a fluid challenge in terms of fluid type, ranges of volume, and rate of administration? (4) What are the safety endpoints during a fluid challenge? The expert panel found insufficient evidence to provide recommendations according to the GRADE system, and was only able to make recommendations for basic interventions, based on the available evidence and expert opinion. The panel identified significant gaps in the scientific evidence on fluid administration outside the ICU (excluding the operating theater). Globally, scientific communities and health care systems should address these critical gaps in evidence through research on how basic fluid administration in resource-rich and resource-limited settings can be improved for the benefit of patients and societies worldwide.

Indexed as

Advisory CommitteesBlood PressureCentral Venous PressureFluid TherapyHeart RateHumansMonitoring, PhysiologicSeverity of Illness IndexShockFluid ResponsivenssFluidsIntensive CareShock

Identifiers

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.