Evidence map›Paper›PMID 39117412›Full record

ArticleBMJ open2024

Efficacy and safety of dynamic arterial elastance for weaning vasopressor support in septic shock patients: a randomised controlled trial protocol.

Jorge Iván Alvarado Sánchez, Andrea Valentina Montañez-Nariño, Yenny Rocio Cárdenas-Bolivar, Maria Valentina Stozitzky-Ríos, Andrés Felipe Mora-Salamanca

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06118775 (Assessment of the Effectiveness and Safety of Dynamic Arterial Elastance in Weaning Vasopressor Support in Patients with Septic Shock), which is not on this 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.

NCT06118775 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Assessment of the Effectiveness and Safety of Dynamic Arterial Elastance in Weaning Vasopressor Support in Patients with Septic Shock: a Randomized Controlled Clinical Trial At Santa Fé Foundation in Bogotá

TypeinterventionalSponsorFundación Santa Fe de BogotaRan2025 to 2026Enrolled114ConditionsSeptic ShockArmsEaDyn Weaning Arm:, PAM Weaning Arm:
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

5 authors.

Jorge Iván Alvarado SánchezCritical Care Unit, Fundación Santa Fe de Bogotá, Bogotá, Colombia jialvarados@unal.edu.co.ORCID 0000-0003-4320-3150
Andrea Valentina Montañez-NariñoCritical Care Unit, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Yenny Rocio Cárdenas-BolivarCritical Care Unit, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Maria Valentina Stozitzky-RíosCritical Care Unit, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Andrés Felipe Mora-SalamancaCritical Care Unit, Fundación Santa Fe de Bogotá, Bogotá, Colombia.ORCID 0000-0003-1509-0080

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe dynamic arterial elastance (EaDyn), calculated as pulse pressure variation divided by stroke volume variation, has been studied as a predictor of vasopressor weaning. However, its potential as a haemodynamic tool for tapering off vasopressors in patients with sepsis remains unexplored. Therefore, our study aimed to assess whether using EaDyn for weaning vasopressor support could reduce the duration of vasopressor support in patients with sepsis. METHODS AND ANALYSIS: This pragmatic single-centre controlled clinical trial will take place at Fundación Santa Fe de Bogotá, Colombia. Adult patients diagnosed with septic shock according to the sepsis-3 criteria and a Sequential Organ Failure Assessment score ≥4 will be included. A total of 114 patients (57 per group) will undergo conventional critical care monitoring, and the weaning of vasopressor support will be initiated based on the EaDyn or mean arterial pressure (MAP), depending on the assigned group. EaDyn will be estimated based on the measurements obtained from a PiCCO device connected to a PulsioFlex Monitoring Platform (PULSION Medical Systems SE, Feldkirchen, Germany). Our primary outcome is the difference in vasopressor support duration between the EaDyn and MAP groups.Participants and statisticians performing the statistical analysis will be blinded to the group allocation. Dependent and independent variables will be analysed through univariate and multivariate statistical tests. Since we will perform three repeated measurements for analysis, we will implement a Bonferroni post hoc correction. Additionally, Cox regression and Kaplan-Meier analyses will be conducted to address objectives related to time. ETHICS AND DISSEMINATION: This study was approved by the Ethics Committee at Fundación Santa Fe de Bogotá (CCEI-16026-2024). Written informed consent will be obtained from all participants. The results will be disseminated through publication in peer-reviewed journals and presentations at national and international events. TRIAL REGISTRATION NUMBER: NCT06118775.

Indexed as

Shock, SepticVasoconstrictor AgentsAdultArterial PressureColombiaCritical CareFemaleHumansMalePragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicStroke VolumeVasoconstrictor AgentsAdult intensive & critical careClinical TrialINTENSIVE & CRITICAL CARE

Identifiers

PMID39117412
PMCPMC11404246

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.