Evidence map›Paper›PMID 36171594›Full record

ReviewCritical care (London, England)2022

Effective hemodynamic monitoring.

Michael R Pinsky, Maurizio Cecconi, Michelle S Chew, Daniel De Backer, Ivor Douglas, Mark Edwards, Olfa Hamzaoui, Glenn Hernandez, Greg Martin, Xavier Monnet and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
27.0field-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.

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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

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

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

14 authors at 13 institutions in 10 countries.

Michael R PinskyCritical Care Medicine, Bioengineering, Cardiovascular Diseases, Anesthesiology and Clinical & Translations Medicine, University of Pittsburgh, Pittsburgh, PA, USA. pinsky@pitt.edu.
Maurizio CecconiAnesthesiology and Intensive Care, Department of Biomedical Sciences, MEDTEC School, Humanitas University Pieve Emanuele, Milan, Italy.
Michelle S ChewAnesthesiology, Intensive Care and Acute Medicine, Linkoping University Hospital, Linkoping, Sweden.
Daniel De BackerIntensive Care Department, CHIREC Hospitals, Intensive Care, Universite Libre de Bruxelles, Brussels, Belgium.
Ivor DouglasMedicine, Pulmonary Sciences & Critical Care Medicine, University of Colorado Medical School and Denver Health Medical Center, Aurora, CO, USA.
Mark EdwardsAnaesthesia & Perioperative Medicine, University Hospital Southampton, University of Southampton, Southampton, UK.
Olfa HamzaouiMedical Intensive Care, Robert Debré Hospital, University Hospitals of Reims, Reims, France.
Glenn HernandezDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Greg MartinMedicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University & Grady Memorial Hospital, Atlanta, GA, USA.
Xavier MonnetIntensive Care, Paris-Saclay University Hospitals, Paris-Saclay University, Paris, France.
Bernd SaugelAnesthesiology, Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Thomas W L ScheerenAnesthesiology, University Medical Center Groningen, Groningen, Netherlands.
Jean-Louis TeboulTherapeutics and Intensive Care Medicine, Paris-Saclay University Hospitals, Paris-Saclay University, Paris, France.
Jean-Louis VincentDepartment of Intensive Care Medicine, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Université Libre de Bruxelles · BEDenver Health Medical Center · USGrady Memorial Hospital · USHôpital Antoine-Béclère · FRHôpital Paris Saint-Joseph · FRIRCCS Humanitas Research Hospital · ITLinköping University · SEPontificia Universidad Católica de Chile · CLUniversité Paris-Saclay · FRUniversity Medical Center Groningen · NLUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Pittsburgh · USUniversity of Southampton · GB

Funding

Autonomous diagnosis and management of the critically ill during air transport (ADMIT)R01HL141916 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PINSKY, MICHAEL R · 2019 to 2022
$2.9M
NHLBI NIH HHS HL141916NHLBI NIH HHS R01 HL141916
6 · The paper itself

Abstract

Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify. This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency (CVI) in perioperative care. Such goal-directed therapy is associated with decreased perioperative complications and length of stay in high-risk surgery patients. (2) Patient-specific personalized resuscitation approaches for CVI. These approaches including dynamic measures to define volume responsiveness and vasomotor tone, limiting less fluid administration and vasopressor duration, reduced length of care. (3) Hemodynamic monitoring to predict future CVI using machine learning approaches. These approaches presently focus on predicting hypotension. Future clinical trials assessing hemodynamic monitoring need to focus on process-specific monitoring based on modifying therapeutic interventions known to improve patient-centered outcomes.

Indexed as

Hemodynamic MonitoringResuscitationCritical CareHumansPerioperative CareTreatment Outcome

Identifiers

PMID36171594
PMCPMC9520790
OpenAlexW4297495158

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.