Evidence map›Paper›PMID 41817314›Full record

ArticleCritical care explorations2026

Critical Care Ultrasonography for Cardiogenic Shock: A Scoping Review.

Sameer Sharif, Kevin Wang, John Basmaji, Enyo Ablordeppey, José L Díaz-Gómez, Michael Lanspa, Sara Nikravan, Kimberley Lewis

Abstract readScoping Review
In one paragraph

Article in Critical care explorations, 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. 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

8 authors.

Sameer SharifDepartment of Medicine, Division of Emergency Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-3346-0308
Kevin WangMcMaster University, Hamilton, ON, Canada.
John BasmajiWestern University, London, ON, Canada.
Enyo AblordeppeyWashington University, St. Louis, MO.
José L Díaz-GómezBaylor College of Medicine, Houston, TX.
Michael LanspaIntermountain Medical Center, Murray, UT.
Sara NikravanUniversity of Washington, Seattle, WA.
Kimberley LewisDepartment of Medicine, Division of Critical Care, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo summarize the effectiveness of critical care ultrasonography (CCUS) in adult patients with cardiogenic shock vs. standard of care without CCUS on patient-relevant outcomes.

designWe performed a scoping review across MEDLINE, Embase, CENTRAL, World Health Organization, International Clinical Trials Registry, ClinicalTrials.gov, and published and unpublished sources from inception until February 2024.

settingThe emergency department, ward, or ICU. PATIENTS: We included randomized clinical trials (RCTs) and observational studies comparing CCUS to non-CCUS care in adult patients with cardiogenic shock. We included any type of ultrasound measure for the intervention in adult patients (≥ 18 yr old).

interventionsCCUS. MEASUREMENTS AND MAIN

resultsWe included two RCTs (n = 573 patients) and one observational study (n = 30 patients). RCT data suggested that CCUS, with transesophageal echocardiography in particular, in adult patients with cardiogenic shock may shorten time to resolution of hemodynamic instability at 72 hours (subhazard ratio [SHR], 1.26; 95% CI, 1.02-1.55) but failed to influence mortality (risk difference, -0.03; 95% CI, -0.1 to 0.05), time to resolution of hemodynamic instability within 6 days (SHR, 1.20; 95% CI, 0.98-1.46), ICU length of stay (LOS; p = 0.87), hospital LOS (p = 0.91), duration of mechanical ventilation (p = 0.73), or duration of renal replacement therapy (RRT; p = 0.68).

conclusionsIn adult patients with cardiogenic shock, CCUS does not impact mortality, time to resolution of hemodynamic instability within 6 days, ICU and hospital LOS, nor mechanical ventilation or RRT duration. Notably, CCUS may hasten resolution of hemodynamic instability at 72 hours, but such evidence is limited by imprecision and indirectness.

Indexed as

Critical CareShock, CardiogenicHumansRandomized Controlled Trials as TopicUltrasonographycardiogenic shockcritical care ultrasonographyrandomizedscoping review

Identifiers

PMID41817314
PMCPMC12987404

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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.