Evidence map›Paper›PMID 34787687›Full record

ReviewIntensive care medicine2021

Basic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care Medicine.

Chiara Robba, Adrian Wong, Daniele Poole, Ashraf Al Tayar, Robert T Arntfield, Michelle S Chew, Francesco Corradi, Ghislaine Douflé, Alberto Goffi, Massimo Lamperti and 11 more

Registry-linked trialOpen access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review 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 trial NCT06486467 (Reliability of Minimally Trained Operator's Velocity-Time Integral Measurement Guided by Artificial Intelligence), which is not on this map. Cited by 88 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 4 pooled it
21.7field-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.

NCT06486467 narecruitingnot on this mapstarted 2024, after this paper: background citation

Reliability of Minimally Trained Operator's Velocity-Time Integral Measurement Guided by Artificial Intelligence (MiniTrained-VTI)

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2024 to 2026Enrolled100ConditionsVelocity-time Integral Measurement, Critically Ill Patients, Tissue HypoperfusionArmsFluid challenge (cristalloids) OR passive leg raising
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 4 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Dynamic response of optic nerve sheath diameter to PaCOJournal of clinical monitoring and computing · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Observational
  12. Observational
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Current standard of care for septic shock.Intensive care medicine · 2026
    Review
  19. Article
  20. Article

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 15 institutions in 9 countries.

Chiara RobbaAnesthesia and Intensive Care, Ospedale Policlinico San Martino, IRCCS per l'Oncologia e le Neuroscienze, Genoa, Italy. kiarobba@gmail.com.ORCID http://orcid.org/0000-0003-1628-3845
Adrian WongDepartment of Critical Care, King's College Hospital, London, UK.
Daniele PooleAnesthesia and Intensive Care Operative Unit, S. Martino Hospital, Belluno, Italy.
Ashraf Al TayarConsultant Intensivist, Head of ICU/RT Department Security Forces Hospital , Dammam, Saudi Arabia.
Robert T ArntfieldDivision of Critical Care Medicine, Western University, London, ON, Canada.
Michelle S ChewDepartment of Anaesthesiology and Intensive Care, Biomedical and Clinical Sciences, Linköping University, S-58185, Linköping, Sweden.
Francesco CorradiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Ghislaine DoufléInterdepartmental Division of Critical Care Medicine, Department of Anesthesia and Pain Management, University Health Network, University of Toronto, Toronto, ON, M5G 2N2, Canada.
Alberto GoffiDepartment of Medicine, Division of Critical Care Medicine, St. Michael's Hospital, Toronto, ON, Canada.
Massimo LampertiAnesthesiology Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.
Paul MayoDivision of Pulmonary, Critical Care and Sleep Medicine, Northwell Health LIJ/NSUH Medical Center, Zucker School of Medicine, Hofstra/Northwell, Hempstead, USA.
Antonio MessinaHumanitas Clinical and Research Center-IRCCS, Rozzano, Milan, Italy.
Silvia MongodiAnaesthesia and Intensive Care, San Matteo Hospital, Pavia, Italy.
Mangala NarasimhanDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Corina PuppoIntensive Care Unit, Clinicas Hospital School of Medicine, University of the Republic, Montevideo, Uruguay.
Aarti SarwalDepartment of Neurology, Wake Forest Baptist Medical Center, Winston Salem, NC, USA.
Michel SlamaMedical Intensive Care Unit and INSERM U1088, Amiens University Hospital, Amiens, France.
Fabio S TacconeDepartment of Intensive Care Medicine, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Philippe VignonMedical-Surgical Intensive Care Unit, Inserm CIC 1435, Limoges University Hospital, Limoges, France.
Antoine Vieillard-BaronIntensive Care Medicine Unit, Assistance Publique-Hôpitaux de Paris, University Hospital Ambroise Paré, Billancourt, 92100, Boulogne, France.
European Society of Intensive Care Medicine task force for critical care ultrasonography*
Inserm · FRAtrium Health Wake Forest Baptist · USLinköping University · SENorthwell Health · USOspedale Policlinico San Martino · ITSt. Michael's Hospital · CAUniversité Libre de Bruxelles · BEDonald & Barbara Zucker School of Medicine at Hofstra/Northwell · USHumanitas University · ITKing's College Hospital · GBSecurity Forces Hospital · SAUniversidad de la República de Uruguay · UYUniversity of Pisa · ITWestern University · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide consensus, and a list of experts' recommendations regarding the basic skills for head-to-toe ultrasonography in the intensive care setting.

methodsThe Executive Committee of the European Society of Intensive Care (ESICM) commissioned the project and supervised the methodology and structure of the consensus. We selected an international panel of 19 expert clinicians-researchers in intensive care unit (ICU) with expertise in critical care ultrasonography (US), plus a non-voting methodologist. The panel was divided into five subgroups (brain, lung, heart, abdomen and vascular ultrasound) which identified the domains and generated a list of questions to be addressed by the panel. A Delphi process based on an iterative approach was used to obtain the final consensus statements. Statements were classified as a strong recommendation (84% of agreement), weak recommendation (74% of agreement), and no recommendation (less than 74%), in favor or against.

resultsThis consensus produced a total of 74 statements (7 for brain, 20 for lung, 20 for heart, 20 for abdomen, 7 for vascular Ultrasound). We obtained strong agreement in favor for 49 statements (66.2%), 8 weak in favor (10.8%), 3 weak against (4.1%), and no consensus in 14 cases (19.9%). In most cases when consensus was not obtained, it was felt that the skills were considered as too advanced. A research agenda and discussion on training programs were implemented from the results of the consensus.

conclusionsThis consensus provides guidance for the basic use of critical care US and paves the way for the development of training and research projects.

Indexed as

Critical CareIntensive Care UnitsHumansToesUltrasonographyAbdominal ultrasoundBrain ultrasoundConsensusEchocardiographyIntensive care unitLung ultrasoundUltrasonographyVascular ultrasound

Identifiers

PMID34787687
PMCPMC8596353
OpenAlexW3211924945

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.