Evidence map›Paper›PMID 35413788›Full record

ReviewAnaesthesiology intensive therapy2022

Methods of assessing fluid responsiveness in septic shock patients: a narrative review.

Wojciech Weigl, Jan Adamski, Dariusz Onichimowski, Piotr Nowakowski, Bodo Wagner

Abstract readReview
In one paragraph

Review in Anaesthesiology intensive therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. 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

5 authors.

Wojciech WeiglAnaesthesiology and Intensive Care, Department of Surgical Sciences, Akademiska Hospital, Uppsala University, Uppsala, Sweden.
Jan AdamskiDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Dariusz OnichimowskiDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Piotr NowakowskiII Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Warsaw, Poland.
Bodo WagnerDepartment of Anaesthesiology and Intensive Care, Mikkeli Central Hospital, South Savo, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A growing body of evidence shows that some septic patients experience fluid overload, which leads to an increased number of serious complications and death. This is because the majority of septic patients are fluid non-responders. Therefore, a reliable distinction of which patient would benefit from fluid boluses is crucial in current sepsis mana-gement. Several methods used to assess fluid responsiveness have been developed. The principle of "dynamic" measurements (in contrast to static indices such as central venous pressure) involves the induction of a change in cardiac preload and the measurement of its effect on stroke volume. Dynamic methods are based on either heart-lung interaction during mechanical ventilation or on an assessment of change in cardiac stroke volume in response to fluid provocative stimuli such as rapid fluid administration, passive leg raising, or the end-expiratory occlusion test. Most dynamic measurements are easy to perform and interpret as well as being available at the bedside. However, they vary in their invasiveness, difficulty in performance, reliability, and limitations. In this study, we provide an overview of various methods for assessing fluid responsiveness and indicate those that potentially lead to haemodynamically guided fluid restrictive treatment that would prevent fluid overload in septic patients.

Indexed as

SepsisShock, SepticCardiac OutputCentral Venous PressureFluid TherapyHemodynamicsHumansReproducibility of ResultsStroke Volumecardiac outputfluid challenge.haemodynamic monitoringsepsisstroke volume

Identifiers

PMID35413788
PMCPMC10156515

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.