Evidence map›Paper›PMID 34599691›Full record

ArticleIntensive care medicine2021

Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.

Laura Evans, Andrew Rhodes, Waleed Alhazzani, Massimo Antonelli, Craig M Coopersmith, Craig French, Flávia R Machado, Lauralyn Mcintyre, Marlies Ostermann, Hallie C Prescott and 50 more

31 registry-linked trialsAbstract read
In one paragraph

Article in Intensive care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 31 registered trials, which are not on this map. Cited by 2,604 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,604citing papers in PubMed, 6 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.

NCT05213923 nacompletednot on this map

ED Tracking Sheet Implementation

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2021 to 2022Enrolled194ConditionsSepsis, Severe Sepsis, Systemic Inflammatory Response SyndromeArmsED Sepsis Tracking Sheet
NCT05358912 phase4completednot on this map

Does Targeted Abdominal Perfusion Pressure Reduce Renal Injury and Mortality in Septic Shock Patients? A Prospective Controlled Trial

TypeinterventionalSponsorBozyaka Training and Research HospitalRan2019 to 2022Enrolled85ConditionsSeptic Shock, Septicemia, Intraabdominal Hypertension, Renal InjuryArmsVasopressor Agent, Crystalloid Solutions, Invasive Blood Pressure Monitoring, Intra-Abdominal Pressure Monitoring, Abdominal Perfusion Pressure
NCT05627817 unknown statusnot on this map

Timing of Preload Responsiveness in Sepsis and Septic Shock

TypeobservationalSponsorBicetre HospitalRan2019 to 2023Enrolled100ConditionsSeptic Shock, Fluid Responsiveness
NCT05658692 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

Platform Adaptive Embedded Trial for Acute Respiratory Distress Syndrome

TypeinterventionalSponsorSecond Affiliated Hospital, Zhejiang University, School of MedicineRan2022 to 2023Enrolled1,000ConditionsAcute Respiratory Distress SyndromeArmsprotective ventilation, prone position ventilation, glucocorticoid therapy, restrictive fluid resuscitation, Thymosin Alpha
NCT05833412 unknown statusnot on this mapstarted 2023, after this paper: background citation

Clinical Study to Improve the Quality of Care in Critically Ill Patients With Suspected Sepsis Through Early Molecular Diagnosis .

Typeobservational_patient_registrySponsorAlejandro Rodriguez Oviedo , MDRan2023 to 2024Enrolled120ConditionsSepsis, Molecular DiagnosisArmsSepticyte Rapid ®, FilmArray® blood culture identification (BCID2®)
NCT05865743 phase3recruitingnot on this mapstarted 2024, after this paper: background citation

PERi-operative Selective Decontamination of the Digestive Tract to Prevent Severe Infectious Complications After Esophagectomy: a Randomized Multicenter Clinical Trial in Patients with Primary Resectable Esophageal Carcinoma (cT1-4, N0-3, M0)

TypeinterventionalSponsorRadboud University Medical CenterRan2024 to 2028Enrolled854ConditionsEsophageal CancerArmsSDD
NCT05898126 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Personalized Hemodynamic Management Based on Serum Renin Concentration on Acute Kidney Injury Progression in Patients With Shock: a Randomized Controlled Trial.

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2025 to 2027Enrolled800ConditionsShockArmsRenin-guided hemodynamic management, Usual care
NCT05941624 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparison Between HA330 Hemoperfusion Filter Hemodialysis and Conventional High-Flux Filter Hemodialysis in Reducing Inflammatory Mediators in Renal Dysfunction Due to Sepsis

TypeinterventionalSponsorIndonesia UniversityRan2023 to 2024Enrolled33ConditionsRenal Dysfunction, Sepsis, HemodialysisArmsHa-330 Hemoperfusion Filter Hemodialysis, Conventional Hemodialysis
NCT05968287 completednot on this mapstarted 2022, after this paper: background citation

Evaluation of the Relationship of Neutrophil Functions With Sepsis and Septic Shock Using the Leukocyte ImmunoTest™ in Patients With Various Infectious Conditions

TypeobservationalSponsorGazi UniversityRan2022 to 2023Enrolled276ConditionsInfections, Sepsis, Septic ShockArmsThe Leukocyte ImmunoTest™ (LIT™)
NCT06216119 completednot on this mapstarted 2024, after this paper: background citation

Intrarenal Venous Flow Change During Fluid Removal in Critically Ill Patients: A Prospective Exploratory Study

TypeobservationalSponsorMahidol UniversityRan2024 to 2024Enrolled52ConditionsCritical Illness, Fluid Overload
NCT06367543 completednot on this map

Guideline-recommended Basic Parameter Adherence in Neurocritical Care Patients: German-wide Observational Multicenter Individual Participant Data Meta-analysis

TypeobservationalSponsorUniversity of GiessenRan2021 to 2021Enrolled474ConditionsStrokeArmsTime in therapeutic range of vital parameters
NCT06422975 unknown statusnot on this mapstarted 2024, after this paper: background citation

Prospective Multicentre Observational Study of Patients Treated With Vasopressin in Critical Care Units

Typeobservational_patient_registrySponsorHospital Universitario 12 de OctubreRan2024 to 2026Enrolled500ConditionsVasopressin Causing Adverse Effects in Therapeutic Use, Shock, Vasopressor Adverse Reaction, Vasopressin DeficiencyArmsVasopressin
NCT06462313 nacompletednot on this mapstarted 2024, after this paper: background citation

Director, Head of Anesthesiology and Critical Care, Principal Investigator, Professor

TypeinterventionalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2024 to 2025Enrolled584ConditionsPatients With Septic Shock, Surgical Patients, General AnesthesiaArmsDobutamine, Norepinephrine
NCT06475144 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Effects of an Online Escape Room on Enhancing Nurses' Knowledge, Clinical Reasoning, and Self-Efficacy Regarding Early Warning Signs of Sepsis: A Randomized Controlled Trial

TypeinterventionalSponsorXin-Ning LeeRan2024 to 2024Enrolled100ConditionsEarly Goal-Directed TherapyArmsonline escape room teaching, online video-based teaching
NCT06539234 recruitingnot on this mapstarted 2024, after this paper: background citation

Angiotensin II Stress Test. Renin Kinetics During Treatment of Vasoplegic Shock With Angiotensin II in Relation to Hemodynamic Response to Treatment With Angiotensin II.

TypeobservationalSponsorUniversity Medical Centre MariborRan2024 to 2026Enrolled80ConditionsShock, Vasoplegic Syndrome
NCT06566456 nacompletednot on this mapstarted 2025, after this paper: background citation

The Impact of Modified Site for Radial Artery Cannulation on the Stability of Arterial Blood Pressure Monitoring

TypeinterventionalSponsorSixth Affiliated Hospital, Sun Yat-sen UniversityRan2025 to 2025Enrolled486ConditionsPerioperative Arterial Pressure MonitoringArmsThe puncture site is 1.5-2.5 cm proximal to the radial styloid process, traditional site
NCT06650384 phase2 / phase3completednot on this mapstarted 2024, after this paper: background citation

Evaluation of the Efficacy and Safety of N-Acetylcysteine Versus Alpha-Lipoic Acid on the Occurrence and Severity of Colistin-Induced Nephrotoxicity in Critically Ill Patients

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2026Enrolled180ConditionsNephrotoxicityArmsAddition of sachets of N-acetyl cysteine 1200 mg twice/day to the maintenance dose of colistin, Addition of Alpha-lipoic acid 600mg twice daily to the maintenance dose of colistin
NCT06963541 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of IL-40 and IL-41 Levels in Patients With Sepsis and Septic Shock to Healthy Individuals

TypeobservationalSponsorMelahat Yalcin SolakRan2025 to 2025Enrolled80ConditionsSepsis, Septic Shock, Inflammation, BiomarkersArmsNo intervention, Observational study
NCT06991686 completednot on this mapstarted 2024, after this paper: background citation

Prognostic Value of Procalcitonin Vs Platelet/Total Leukocytic Count Ratio in 28 Days Outcome in Severe Septic Patients

Typeobservational_patient_registrySponsorAin Shams UniversityRan2024 to 2025Enrolled100ConditionsAll Conditions Causing Sepsis, Pneumonia - Bacterial, Urinary Tract Infection BacterialArmsBlood samples, blood sample
NCT07033910 completednot on this mapstarted 2023, after this paper: background citation

The Effect of Extracorporeal Sepsis Adsorption Column Use on Plasma Syndecan-1 Level and Mortality in Sepsis Patients

TypeobservationalSponsorOral MENTEŞRan2023 to 2024Enrolled91ConditionsSepsis, Syndecan 1, Extracorporeal Sepsis Adsorption ColumnArmssepsis adsorption column
NCT07096310 phase1 / phase2active not recruitingnot on this mapstarted 2024, after this paper: background citation

Comparison Between Carbapenems and Noncarbapenem Broad Spectrum Beta-lactam Antibiotics as Initial Antibiotic Therapy Against Sepsis in Burn Patients: A Prospective Study

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2026Enrolled400ConditionsSepsisArmsMeropenem I.V. 2g as a 3 hour infusion every 8 hours, Tazocin (pipercillin/tazobactam)
NCT07167173 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Predictive Model for Multidrug Resistance in Patients Admitted to the Emergency Department With Sepsis

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2025 to 2025Enrolled10,000ConditionsSepsis, Septic Shock
NCT07172451 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety of Balanced Gelatin Solution for Fluid Infusion in Sepsis Patients Undergoing Emergency Abdominal Surgery: A Multicenter, Adaptive Designed, Randomized Controlled Trial

TypeinterventionalSponsorShanghai Zhongshan HospitalRan2026 to 2028Enrolled318ConditionsSepsis, Intra-Abdominal InfectionsArmsBalanced Gelatin Solution, Acetate Ringer's Solution
NCT07179276 narecruitingnot on this mapstarted 2026, after this paper: background citation

Veno-arterial Carbon Dioxide Partial Pressure Difference (CO2gap) for Early Resuscitation of Septic Shock: A Multicenter Prospective Randomized Trial (CARBON)

TypeinterventionalSponsorUniversity Hospital, Clermont-FerrandRan2026 to 2027Enrolled750ConditionsSepsis - to Reduce Mortality in the Intensive Care Unit, Septic ShockArmsCO2gap-guided resuscitation strategy
NCT07240701 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Single-Center, Randomized Controlled Trial Comparing Normal Saline and Ringer's Lactate for Initial Fluid Resuscitation in Adult Patients With Sepsis in the Emergency Department

TypeinterventionalSponsorEgemen YildizRan2025 to 2026Enrolled88ConditionsSepsisArmsRinger's Lactate, Normal Saline (0.9% Sodium Chloride)
NCT07248527 active not recruitingnot on this mapstarted 2025, after this paper: background citation

PAN-ICIS: Prospective Observational Study Evaluating the Intensive Care Infection Score for Early Detection of Infectious Complications After Pancreatic Resections

TypeobservationalSponsorCharles University, Czech RepublicRan2025 to 2028Enrolled400ConditionsPancreatectomy, Pancreatic Surgery, Intensive Care (ICU), Inflamatory Markers
NCT07436130 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Immunomodulatory Effect of Curcumin in Critically Ill Patients With Sepsis at the Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde": A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

TypeinterventionalSponsorHospital Civil de GuadalajaraRan2026 to 2027Enrolled56ConditionsSepsisArmsCurcumin, Placebo
NCT07438015 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

VEXUS-REA : Evaluation of Ultrasound Parameters of Venous Congestion in Patients in a Medical Intensive Care Unit

TypeinterventionalSponsorCentre Hospitalier Universitaire de BesanconRan2026 to 2026Enrolled525ConditionsVenous CongestionArmsVenous ultrasound (inferior vena cava, portal vein, suprahepatic vein, and renal vein to calculate the VEXUS score, femoral vein and popliteal vein)
NCT07481097 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Hemodynamic Resuscitation Guided by Non-Invasive Mean Systemic Filling Pressure to Prevent Acute Kidney Injury in Septic Shock: A Randomized Controlled Trial Integrating Renal Doppler Indices

TypeinterventionalSponsorAssiut UniversityRan2026 to 2028Enrolled100ConditionsAcute Kidney Injury Due to SepsisArmsHemodynamic measurements during reduction in Norepinephrine and fluid boli.
NCT07491419 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Fast Antimicrobial Sensitivity Testing Tools on Stewardship Antibiotic and Clinical Outcome: a Randomized Clinical Trial Within an Adaptive Platform Trial for Patients With Bloodstream Infections

TypeinterventionalSponsorIstituto Clinico HumanitasRan2026 to 2028Enrolled400ConditionsBloodstream Infection, Gram-Negative Infections, Gram-Positive Infections, Bacteremia SepsisArmsDiagnostic Test: Rapid Antimicrobial Susceptibility Testing (R-AST) guided Stewardship, Standard of Care (SOC)
NCT07511582 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy, Safety, and Tolerability of Methylprednisolone in Critically Ill Patients With the Hyperinflammatory Phenotype: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase II Trial

TypeinterventionalSponsorBin DuRan2026 to 2028Enrolled150ConditionsSepsis, Acute Respiratory Distress SyndromeArmsMethylprednisolone (MP), Placebo
3 · Its place in the literature

Who cites it

2,604 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Trial
  8. Trial
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  11. Deresuscitation Informed by Ultrasound in Patients With Septic Shock Trial: A Pilot Randomized Controlled Study.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Trial
  12. Trial
  13. Trial
  14. Review
  15. Review
  16. Article
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  20. Article

2,544 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

60 authors.

Laura EvansDivision of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA, USA. leevans@uw.edu.ORCID 0000-0002-3176-6493
Andrew RhodesAdult Critical Care, St George's University Hospitals NHS Foundation Trust & St George's University of London, London, UK.
Waleed AlhazzaniDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Massimo AntonelliDipartimento di Scienze dell'Emergenza, Anestesiologiche e della Rianimazione, Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Craig M CoopersmithEmory University School of Medicine, Atlanta, GA, USA.
Craig FrenchWestern Health, Melbourne, Australia.
Flávia R MachadoAnesthesiology, Pain and Intensive Care Department, Federal University of São Paulo, Hospital of São Paulo, São Paulo, Brazil.
Lauralyn McintyreOttawa Hospital, Ottawa, ON, Canada.
Marlies OstermannGuy's & St Thomas' Hospital, London, England, UK.
Hallie C PrescottUniversity of Michigan and VA Center for Clinical Management Research, Ann Arbor, MI, USA.
Christa SchorrCooper Health System, Camden, NJ, USA.
Steven SimpsonUniversity of Kansas Medical Center, Kansas City, KS, USA.
W Joost WiersingaESCMID Study Group for Bloodstream Infections, Endocarditis and Sepsis, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Fayez AlshamsiDepartment of Internal Medicine, College of Medicine and Health Sciences, Emirates University, Al Ain, United Arab Emirates.
Derek C AngusUniversity of Pittsburgh Critical Care Medicine CRISMA Laboratory, Pittsburgh, PA, USA.
Yaseen ArabiIntensive Care Department, Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
Luciano AzevedoSchool of Medicine, University of Sao Paulo, São Paulo, Brazil.
Richard BealeGuy's & St Thomas' Hospital, London, England, UK.
Gregory BeilmanUniversity of Minnesota, Minneapolis, MN, USA.
Emilie Belley-CotePopulation Health Research Institute, Hamilton, ON, Canada.
Lisa BurryMount Sinai Hospital & University of Toronto (Leslie Dan Faculty of Pharmacy), Toronto, ON, Canada.
Maurizio CecconiDepartment of Biomedical Sciences, Humanitas University Pieve Emanuele, Milan, Italy.
John CentofantiDepartment of Anesthesia, McMaster University, Hamilton, ON, Canada.
Angel Coz YatacoLexington Veterans Affairs Medical Center/University of Kentucky College of Medicine, Lexington, KY, USA.
Jan De WaeleGhent University Hospital, Ghent, Belgium.
R Phillip DellingerCooper Health System, Camden, NJ, USA.
Kent DoiThe University of Tokyo, Tokyo, Japan.
Bin DuMedical ICU, Peking Union Medical College Hospital, Beijing, China.
Elisa EstenssoroHospital Interzonal de Agudos San Martin de La Plata, Buenos Aires, Argentina.
Ricard FerrerIntensive Care Department, Vall d'Hebron University Hospital, Vall d'Hebron Institut de Recerca, Barcelona, Spain.
Charles GomersallPrince of Wales Hospital, Hong Kong, China.
Carol HodgsonAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia.
Morten Hylander MøllerDepartment of Intensive Care 4131, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Theodore IwashynaUniversity of Michigan Health System, Ann Arbor, MI, USA.
Shevin JacobLiverpool School of Tropical Medicine, Liverpool, UK.
Ruth KleinpellVanderbilt University, Nashville, TN, USA.
Michael KlompasDepartment of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Younsuck KohASAN Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Anand KumarUniversity of Manitoba, Winnipeg, MB, Canada.
Arthur KwizeraMakerere University College of Health Sciences, Kampala, Uganda.
Suzana LoboIntensive Care Division, Faculdade de Medicina de São José do Rio Preto, São Paulo, Brazil.
Henry MasurCritical Care Medicine Department, NIH Clinical Center, Bethesda, MD, USA.
Steven McGloughlinAlfred Health, Melbourne, Australia.
Sangeeta MehtaMount Sinai Hospital, Toronto, ON, Canada.
Yatin MehtaMedanta the Medicity, Gurugram, Haryana, India.
Mervyn MerCharlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Mark NunnallyNew York University School of Medicine, New York, NY, USA.
Simon OczkowskiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Tiffany OsbornWashington University School of Medicine, St. Louis, MO, USA.
Elizabeth PapathanassoglouFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Anders PernerRigshospitalet, Copenhagen, Denmark.
Michael PuskarichUniversity of Minnesota/Hennepin County Medical Center, Minneapolis, MN, USA.
Jason RobertsFaculty of Medicine, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Australia.
William SchweickertUniversity of Pennsylvania, Philadelphia, PA, USA.
Maureen SeckelChristianaCare, Newark, DE, USA.
Jonathan SevranskyEmory University School of Medicine, Atlanta, GA, USA.
Charles L SprungFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Tobias WelteMedizinische Hochschule Hannover and German Center of Lung Research (DZL), Hannover, Germany.
Janice ZimmermanWorld Federation of Intensive and Critical Care, Brussels, Belgium.
Mitchell LevyWarren Alpert School of Medicine at Brown University, Providence, Rhode Island & Rhode Island Hospital, Providence, RI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PubMed holds no abstract for this paper.

Indexed as

SepsisShock, SepticCritical CareHumansAdultsEvidence based medicineGuidelinesSepsisSeptic shock

Identifiers

PMID34599691
PMCPMC8486643

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 25 more above

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.