Evidence map›Paper›PMID 40301956›Full record

ReviewJournal of anesthesia, analgesia and critical care2025

Role of liposomal amphotericin B in intensive care unit: an expert opinion paper.

Linda Bussini, Michele Bartoletti, Matteo Bassetti, Andrea Cortegiani, Gennaro De Pascale, Francesco Giuseppe De Rosa, Marco Falcone, Maddalena Giannella, Massimo Girardis, Paolo Grossi and 7 more

Abstract readReview
In one paragraph

Review in Journal of anesthesia, analgesia and critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

17 authors.

Linda BussiniInfectious Diseases Unit, Hospital Health Direction, IRCCS Humanitas Research Hospital, 20089, Rozzano, Milan, Italy.
Michele BartolettiInfectious Diseases Unit, Hospital Health Direction, IRCCS Humanitas Research Hospital, 20089, Rozzano, Milan, Italy.
Matteo BassettiDivision of Infectious Diseases, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Andrea CortegianiDepartment of Precision Medicine in Medical Surgical and Critical Care, University of Palermo, Palermo, Italy.
Gennaro De PascaleDepartment of Emergency, Intensive Care Medicine and Anaesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Francesco Giuseppe De RosaDepartment, of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Marco FalconeInfectious Disease Unit, AOU Pisana PO Cisanello, University of Pisa, Pisa, Italy.
Maddalena GiannellaDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Massimo GirardisAnesthesia and Intensive Care Medicine, Policlinico Di Modena, University of Modena and Reggio Emilia, Modena, Italy.
Paolo GrossiInfectious and Tropical Diseases Unit, Department of Medicine and Surgery, University of Insubria - ASST-Sette Laghi, Varese, Italy.
Malgorzata MikulskaDivision of Infectious Diseases, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Paolo NavalesiInstitute of Anesthesia and Intensive Care, University of Padua, Padua, Italy.
Federico PeaDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Maurizio SanguinettiDepartment of Basic Biotechnological Sciences, Intensive and Perioperative Clinics, Catholic University of the Sacred Heart, Rome, Italy.
Carlo TasciniInfectious Diseases Clinic, Azienda Sanitaria Universitaria del Friuli Centrale (ASUFC), Udine, Italy.
Bruno ViaggiICU Department, Careggi Hospital, Florence, Italy.
Pierluigi VialeDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy. pierluigi.viale@unibo.it.ORCID http://orcid.org/0000-0003-1264-0008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInvasive fungal infections (IFI) are frequent in patients admitted to the intensive care unit (ICU). The use of first-line antifungals like triazoles or echinocandins may be limited by the global spread of multi-drug resistance species, drug-drug interactions, low organ penetration, and some safety concerns in case of multi-organ failure. Liposomal amphotericin B (L-AmB) is a polyene drug with a broad activity against mold and yeast and an acceptable safety profile. To outline the role of L-AmB in the treatment of IFI in critically ill patients, a panel of experts was invited to draw up an expert opinion paper on the appropriate place in therapy of L-AmB in different clinical scenarios of patients admitted to ICU.

methodsA multidisciplinary group of 16 specialists in infectious disease, microbiology, pharmacology, and intensive care elaborated an expert opinion document through a multi-step approach: (1) the scientific panel defined the items and wrote the statements on the management of IFI in ICU, (2) a survey was submitted to an external panel to express agreement or disagreement on the statements, and (3) the panel reviewed the survey and implemented the final document.

resultsThe final document included 35 statements that focused on epidemiology and microbiological rationale of the use of systemic L-AmB in critically ill patients and its potential role in specific clinical scenarios in the ICU.

conclusionSystemic L-AmB may represent an appropriate therapeutic choice for IFI in ICU patients with different underlying conditions, especially when the use of first-line agents is undermined. This expert opinion paper may provide a useful guide for clinicians.

Indexed as

Antifungal therapyAspergillosisCandidiasisCritically ill patientIntensive care unitInvasive fungal infectionsLiposomal amphotericin BMold infections

Identifiers

PMID40301956
PMCPMC12042420

What OpenQuestion holds

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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.