Evidence map›Paper›PMID 41646585›Full record

ReviewCureus2026

Impact of Point-of-Care Ultrasound-Guided Resuscitation Protocols in the Treatment of Septic Shock: A Systematic Review of Hemodynamic Outcomes and Mortality.

Alexis Agustin A Dunay Silva, Santiago Medina Tovar, Juan Sebastian Usma Gutierrez, Rashell Danae Fiallos Baldeón, Elvis Roque Arias Merino, Montserrat Ceja, Pablo Andrés Gutiérrez Hoyos

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Alexis Agustin A Dunay SilvaInternal Medicine Department, Hospital Barros Luco Trudeau, San Miguel, CHL.
Santiago Medina TovarEmergency Department, Universidad Cooperativa de Colombia, Villavicencio, COL.
Juan Sebastian Usma GutierrezMedicine Department, Universidad Antonio Nariño, Bogotá, COL.
Rashell Danae Fiallos BaldeónMedicine Department, Universidad Regional Autónoma de los Andes, Ambato, ECU.
Elvis Roque Arias MerinoMedicine Department, Universidad Internacional del Ecuador, Quito, ECU.
Montserrat CejaMedicine Department, Universidad Autónoma de Guadalajara, Guadalajara, MEX.
Pablo Andrés Gutiérrez HoyosMedicine Department, Institución Prestadora de Servicios (IPS) Salud en Casa SURA, Cali, COL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Septic shock is a life-threatening condition requiring rapid hemodynamic stabilization. This review aimed to evaluate the impact of point-of-care ultrasound (POCUS)-guided resuscitation on mortality and hemodynamic outcomes in adults with septic shock. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, PubMed, the Cochrane Library, and Google Scholar were searched up to October 2025 for studies comparing POCUS-guided to conventional resuscitation. Study quality was assessed using the Cochrane Risk of Bias 2.0 and Newcastle-Ottawa scale (NOS) tools. Due to heterogeneity in study designs and outcome measures, a narrative data synthesis was performed, summarizing findings across mortality, hemodynamic, fluid balance, and organ function domains. Fourteen studies met the inclusion criteria, encompassing 11 randomized controlled trials (RCTs) and three cohort studies. Ultrasound-guided resuscitation protocols demonstrated improvements in hemodynamic stability, including higher mean arterial pressure, improved oxygenation indices, and greater lactate clearance compared to standard care. Fluid management outcomes indicated lower total fluid administration and more favorable fluid balance. Several studies reported reductions in organ dysfunction markers, the earlier restoration of perfusion, and the decreased incidence of acute kidney injury (AKI). Additionally, ultrasound-guided protocols were associated with shorter durations of mechanical ventilation and reduced intensive care unit (ICU) and hospital stays. Mortality outcomes showed variable results, with some evidence suggesting a potential survival benefit. Ultrasound-guided resuscitation improves hemodynamic optimization, fluid balance, and organ recovery, offering a more individualized approach to septic shock management.

Indexed as

fluid resuscitationhemodynamic monitoringmortalitypoint-of-care ultrasound (pocus)septic shock

Identifiers

PMID41646585
PMCPMC12872035

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.