Evidence map›Paper›PMID 37747558›Full record

ReviewAnnals of intensive care2023

Multidisciplinary expert panel report on fluid stewardship: perspectives and practice.

Manu L N G Malbrain, Pietro Caironi, Robert G Hahn, Juan V Llau, Marcia McDougall, Luís Patrão, Emily Ridley, Alan Timmins

Open access · goldAbstract readReview
In one paragraph

Review in Annals of intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  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

8 authors at 6 institutions in 8 countries.

Manu L N G MalbrainFirst Department Anaesthesiology and Intensive Therapy, Medical University Lublin, Lublin, Poland. manu.malbrain@telenet.be.ORCID http://orcid.org/0000-0002-1816-5255
Pietro CaironiDepartment of Anesthesia and Critical Care, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.ORCID http://orcid.org/0000-0003-0490-0818
Robert G HahnAnesthesia and Intensive Care, Karolinska Institute, Stockholm, Sweden.
Juan V LlauAnaesthesiology and Post-Surgical Critical Care, University Hospital Doctor Peset, Valencia, Spain.
Marcia McDougallAnaesthetics and Intensive Care, Victoria Hospital, Kirkcaldy, Fife, Scotland.ORCID http://orcid.org/0000-0003-2598-2445
Luís PatrãoIntensive Care Unit, Centro HospitalarTondela-Viseu, EPE, Viseu, Portugal.
Emily RidleyFluid Management lead, Department of Nursing, Victoria Hospital, Kirkcaldy, Fife, Scotland.
Alan TimminsPharmacy Department, Victoria Hospital, Kirkcaldy, Fife, Scotland.
Centro Hospitalar Tondela-Viseu · PTKarolinska Institutet · SEMedical University of Lublin · PLOspedale San Luigi Gonzaga · ITUniversitat de València · ESVictoria Hospital · IN

Funding

Baxter Healthcare Corporation Unrestricted educational grant
6 · The paper itself

Abstract

Although effective and appropriate fluid management is a critical aspect of quality care during hospitalization, the widespread adoption of consistent policies that ensure adequate fluid stewardship has been slow and heterogenous. Despite evidence-based guidelines on fluid management being available, clinical opinions continue to diverge on important aspects of care in this setting, and the consistency of guideline implementation is far from ideal. A multidisciplinary panel of leading practitioners and experts convened to discuss best practices for ongoing staff education, intravenous fluid therapy, new training technologies, and strategies to track the success of institutional fluid stewardship efforts. Fluid leads should be identified in every hospital to ensure consistency in fluid administration and monitoring. In this article, strategies to communicate the importance of effective fluid stewardship for the purposes of education, training, institutional support, and improvement of patient outcomes are reviewed and recommendations are summarized.

Indexed as

Buffered solutionsCritical careCrystalloidsFluid stewardshipFluid therapyPerioperative care

Identifiers

PMID37747558
PMCPMC10519908
OpenAlexW4387002819

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.