Evidence map›Paper›PMID 33063023›Full record

ArticleCritical care explorations2020

Doppler Interrogation of the Femoral Vein in the Critically Ill Patient: The Fastest Potential Acoustic Window to Diagnose Right Ventricular Dysfunction?

André Y Denault, Matthew P Aldred, Ali Hammoud, Yu Hao Zeng, William Beaubien-Souligny, Etienne J Couture, Stéphanie Jarry, Caroline E Gebhard, Stephane Langevin, Yoan Lamarche and 1 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.8field-weighted citation impact, top 8% 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.

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

27 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Fluid tolerance in septic shock: Femoral vein pulsatility versus VExUS score in a cross-sectional study.The Southern African journal of critical care : the official journal of the Critical Care Society · 2026
    Article
  7. Article
  8. Article
  9. Observational
  10. [Role of ultrasound in critically ill patients with heart failure]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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 3 institutions in 2 countries.

André Y DenaultDepartment of Anesthesiology and Critical Care Division, Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada.
Matthew P AldredDepartment of Anesthesiology, Université de Montréal, Montreal, QC, Canada.
Ali HammoudDepartment of Nursing, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Yu Hao ZengDepartment of Anesthesiology, Université de Montréal, Montreal, QC, Canada.
William Beaubien-SoulignyDepartment of Medicine, Nephrology Division, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Etienne J CoutureDepartment of Anesthesiology and Department of Medicine, Division of Intensive Care Medicine, Institut Universitaire de Cardiologie et de Pneumologie, Quebec City, QC, Canada.
Stéphanie JarryDepartment of Anesthesiology and Critical Care Division, Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada.
Caroline E GebhardDepartment of Intensive Care Medicine, University Hospital Basel, Basel, Switzerland.
Stephane LangevinDepartment of Anesthesiology and Department of Medicine, Division of Intensive Care Medicine, Institut Universitaire de Cardiologie et de Pneumologie, Quebec City, QC, Canada.
Yoan LamarcheDepartment of Cardiac Surgery and Critical Care, Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada.
Pierre RobillardDepartment of Radiology, Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada.
Université de Montréal · CAMontreal Heart Institute · CAUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report the use of common femoral vein Doppler interrogation as a simple technique to diagnose right ventricular dysfunction.

designCase report.

settingCardiac surgical ICU. PATIENTS: Postoperative cardiac surgical patients.

interventionsCommon femoral pulsed-wave and color Doppler examination associated with hepatic, portal, and renal venous Doppler measurement were obtained in both patients and before and after treatment in patient number 1. In addition, right ventricular pressure waveform examination was obtained in patient number 2. MEASUREMENTS AND MAIN

resultsThe technique to obtain common femoral venous Doppler is described. Two cases of patients presenting with right ventricular dysfunction and fluid overload with portal and renal venous congestion in the perioperative period undergoing complex multivalvular cardiac surgery are presented. Hemodynamic waveform monitoring was performed alongside echocardiographic, hepatic, and renal venous flow Doppler assessment, and spectral Doppler profiles of the common femoral veins were examined. Those findings were useful in confirming our diagnosis and guiding our response to treatment. An algorithm was developed and tested on two additional hemodynamically unstable patients.

conclusionsDoppler examination of the common femoral vein is a simple, fast, and noninvasive technique that could be useful to rule in the presence of right ventricular dysfunction with venous congestion and help guide the management of such patients.

Indexed as

bedside ultrasoundcommon femoral veinright ventricular dysfunctionvenous congestion

Identifiers

PMID33063023
PMCPMC7523763
OpenAlexW3091004777

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.