Evidence map›Paper›PMID 35799865›Full record

ArticleRespiratory medicine case reports2022

Utilizing a novel point of care ultrasound (POCUS) protocol to guide diuresis - A case series.

Akintunde Akinjero, Sunil Chulani, Sahar Ahmad

Abstract readCase Reports
In one paragraph

Article in Respiratory medicine case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Akintunde AkinjeroDepartment of Internal Medicine, Stony Brook University Hospital, Stony Brook, NY, USA.
Sunil ChulaniDepartment of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Stony Brook University Hospital, Stony Brook, NY, USA.
Sahar AhmadDepartment of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Stony Brook University Hospital, Stony Brook, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Volume assessment is an important, but challenging but crucial aspect of patient care. Fluid balance is affected by volume expansion, sepsis/shock states, cardiac and kidney failure and is present in the majority of patients. Similarly, in critically ill patients on diuretics, both excessive and inadequate diuresis can worsen outcomes. Chest X-ray (CXR) and auscultation are poorly predictive of volume status, while bioimpedance and blood volume monitoring have limitations at the bedside [4]. Inferior vena cava (IVC) diameter as measured by POCUS is a marker of intravascular volume that can provide a real-time assessment to guide diuresis. The Reverse Falls Protocol combines lung and IVC US to enable the clinician to visualize, in real-time, the patient's intravascular and extravascular volume and to set diuresis goals. We present a series of cases where euvolemia was achieved using the principles described by O'Hara, Chabra & Ahmad's Reverse Falls Protocol.

Identifiers

PMID35799865
PMCPMC9253641

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Registered trials

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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.