Evidence map›Paper›PMID 40537864›Full record

ReviewCritical care (London, England)2025

Can we reliably use pulse pressure as a surrogate for stroke volume? Physiological background and potential clinical implications for shock resuscitation.

Zbigniew Putowski, Jean-Louis Teboul, Ricardo Castro, Denis Chemla, Jonatan Oras, Sebastian Morales, Eduardo Kattan, Glenn Hernandez

Abstract readReview
In one paragraph

Review in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Article
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  6. Review
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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

8 authors.

Zbigniew PutowskiCentre for Intensive and Perioperative Care, Jagiellonian University Medical College, Cracow, Poland.
Jean-Louis TeboulFaculté de Médecine Paris-Saclay, Université Paris-Saclay, Le Kremlin-Bicêtre, Paris, France.
Ricardo CastroDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Denis ChemlaINSERM UMRS 999, Hôpital Marie Lannelongue, Le Plessis-Robinson, Paris, France.
Jonatan OrasDepartment of Anaesthesiology and Intensive Care Medicine, Clinical Sciences, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Sebastian MoralesDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Eduardo KattanDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. e.kattan@gmail.com.ORCID http://orcid.org/0000-0002-1997-6893
Glenn HernandezDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Funding

Agencia Nacional de Investigación y Desarrollo FONDECYT Grant Nº 1230475Agencia Nacional de Investigación y Desarrollo FONDECYT Grant Nº 1250200Agencia Nacional de Investigación y Desarrollo FONDECYT Grant Nº 1250201
6 · The paper itself

Abstract

In critically ill patients, early hemodynamic assessment is essential for guiding shock resuscitation. While cardiac output (CO) is a key indicator of circulatory status, its measurement is often limited by technical and practical constraints. This perspective explores the physiological and clinical relevance of pulse pressure (PP) as a potential surrogate for stroke volume (SV), emphasizing its accessibility at the bedside. The paper discusses how factors such as arterial compliance, vascular tone, and pulse wave amplification influence the PP-SV relationship, often complicating interpretation in acute and complex hemodynamic states. It also examines the effects of vasopressors, vascular decoupling, and catheter site on PP measurements, particularly in septic shock. Despite its limitations, the review highlights how peripheral PP, when carefully interpreted, may aid in identifying low SV and guiding early resuscitation strategies.

Indexed as

Blood PressureResuscitationShockStroke VolumeCardiac OutputHemodynamicsHumansShock, SepticHemodynamic monitoringPulse pressureShock resuscitationStroke volume

Identifiers

PMID40537864
PMCPMC12178023

What OpenQuestion holds

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Registered trials

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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.