Evidence map›Paper›PMID 31832180›Full record

ReviewPerioperative medicine (London, England)2019

Focused cardiac ultrasound in preoperative assessment: the perioperative provider's new stethoscope?

Tara Lenk, John Whittle, Timothy E Miller, David G A Williams, Yuriy S Bronshteyn

Abstract readReview
In one paragraph

Review in Perioperative medicine (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

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

8 citing papers in PubMed.

  1. 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

5 authors.

Tara Lenk1Department of Anesthesiology, Mission Hospital, 509 Biltmore Ave, Asheville, NC 28801 USA.ORCID 0000-0002-1790-8862
John Whittle2Division of General, Vascular, and Transplant, Department of Anesthesiology, Duke University, Durham, NC USA.
Timothy E Miller2Division of General, Vascular, and Transplant, Department of Anesthesiology, Duke University, Durham, NC USA.
David G A Williams2Division of General, Vascular, and Transplant, Department of Anesthesiology, Duke University, Durham, NC USA.
Yuriy S Bronshteyn2Division of General, Vascular, and Transplant, Department of Anesthesiology, Duke University, Durham, NC USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Focused cardiac ultrasound (FoCUS)-a simplified, qualitative version of echocardiography-is a well-established tool in the armamentarium of critical care and emergency medicine. This review explores the extent to which FoCUS could also be used to enhance the preoperative physical examination to better utilise resources and identify those who would benefit most from detailed echocardiography prior to surgery. Among the range of pathologies that FoCUS can screen for, the conditions it provides the most utility in the preoperative setting are left ventricular systolic dysfunction (LVSD) and, in certain circumstances, significant aortic stenosis (AS). Thus, FoCUS could help answer two common preoperative diagnostic questions. First, in a patient with high cardiovascular risk who subjectively reports a good functional status, is there evidence of LVSD? Second, does an asymptomatic patient with a systolic murmur have significant aortic stenosis? Importantly, many cardiac pathologies of relevance to perioperative care fall outside the scope of FoCUS, including regional wall motion abnormalities, diastolic dysfunction, left ventricular outflow obstruction, and pulmonary hypertension. Current evidence suggests that after structured training in FoCUS and performance of 20-30 supervised examinations, clinicians can achieve competence in basic cardiac ultrasound image

Indexed as

Focused cardiac echocardiographyPerioperative MedicinePoint of care ultrasoundPreoperative assessment

Identifiers

PMID31832180
PMCPMC6873469

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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.