Evidence map›Paper›PMID 38598123›Full record

ReviewIntensive care medicine2024

Head-to-toe bedside ultrasound for adult patients on extracorporeal membrane oxygenation.

Ghislaine Douflé, Laura Dragoi, Diana Morales Castro, Kei Sato, Dirk W Donker, Nadia Aissaoui, Eddy Fan, Hannah Schaubroeck, Susanna Price, John F Fraser and 1 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Guideline
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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

11 authors at 7 institutions in 6 countries.

Ghislaine DoufléInterdepartmental Division of Critical Care Medicine of the University of Toronto, Toronto, ON, Canada. ghislaine.doufle@utoronto.ca.ORCID 0000-0002-1377-1512
Laura DragoiInterdepartmental Division of Critical Care Medicine of the University of Toronto, Toronto, ON, Canada.
Diana Morales CastroInterdepartmental Division of Critical Care Medicine of the University of Toronto, Toronto, ON, Canada.
Kei SatoCritical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, Chermside, QLD, 4032, Australia.
Dirk W DonkerIntensive Care Center, University Medical Center Utrecht (UMCU), Utrecht, The Netherlands.
Nadia AissaouiService de Médecine intensive-réanimation, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris Cité, Paris, France.
Eddy FanInterdepartmental Division of Critical Care Medicine of the University of Toronto, Toronto, ON, Canada.
Hannah SchaubroeckDepartment of Intensive Care Medicine, Department of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent University, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Susanna PriceDepartments of Cardiology and Intensive Care, Royal Brompton & Harefield NHS Foundation Trust, London, UK.
John F FraserCritical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, Chermside, QLD, 4032, Australia.
Alain CombesService de Médecine Intensive-Réanimation, Institut de Cardiologie, APHP Sorbonne Université, Hôpital Pitié Salpêtrière, Paris, France.
University of Toronto · CAThe University of Queensland · AUGhent University Hospital · BEInserm · FRRoyal Brompton & Harefield NHS Foundation Trust · GBUniversité Paris Cité · FRUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bedside ultrasound represents a well-suited diagnostic and monitoring tool for patients on extracorporeal membrane oxygenation (ECMO) who may be too unstable for transport to other hospital areas for diagnostic tests. The role of ultrasound, however, starts even before ECMO initiation. Every patient considered for ECMO should have a thorough ultrasonographic assessment of cardiac and valvular function, as well as vascular anatomy without delaying ECMO cannulation. The role of pre-ECMO ultrasound is to confirm the indication for ECMO, identify clinical situations for which ECMO is not indicated, rule out contraindications, and inform the choice of ECMO configuration. During ECMO cannulation, the use of vascular and cardiac ultrasound reduces the risk of complications and ensures adequate cannula positioning. Ultrasound remains key for monitoring during ECMO support and troubleshooting ECMO complications. For instance, ultrasound is helpful in the assessment of drainage insufficiency, hemodynamic instability, biventricular function, persistent hypoxemia, and recirculation on venovenous (VV) ECMO. Lung ultrasound can be used to monitor signs of recovery on VV ECMO. Brain ultrasound provides valuable diagnostic and prognostic information on ECMO. Echocardiography is essential in the assessment of readiness for liberation from venoarterial (VA) ECMO. Lastly, post decannulation ultrasound mainly aims at identifying post decannulation thrombosis and vascular complications. This review will cover the role of head-to-toe ultrasound for the management of adult ECMO patients from decision to initiate ECMO to the post decannulation phase.

Indexed as

Extracorporeal Membrane OxygenationPoint-of-Care SystemsAdultEchocardiographyHumansUltrasonographyEchocardiographyECMOMonitoringUltrasound

Identifiers

PMID38598123
OpenAlexW4394690159

What OpenQuestion holds

Textmetadata
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.