Evidence map›Paper›PMID 40824356›Full record

ReviewIntensive care medicine experimental2025

Non-mechanical haemodynamic support in acute pulmonary thromboembolism: a scoping review.

W Body, S Steckle, A Haggerty, M Putt, F Coyer, E M Milford

Abstract readReview
In one paragraph

Review in Intensive care medicine experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

W BodyIntensive Care, Sunshine Coast University Hospital, Birtinya, QLD, Australia. williamjpbody@gmail.com.
S SteckleIntensive Care, Sunshine Coast University Hospital, Birtinya, QLD, Australia.
A HaggertyIntensive Care, Sunshine Coast University Hospital, Birtinya, QLD, Australia.
M PuttIntensive Care Services, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
F CoyerThe University of Queensland, Brisbane, Australia.
E M MilfordIntensive Care Services, Royal Brisbane and Women's Hospital, Herston, QLD, Australia. elissa.milford@uq.edu.au.ORCID http://orcid.org/0000-0003-1893-3223

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAcute pulmonary thromboembolism (PE) may require haemodynamic supportive therapies while appropriate therapies for clot burden reduction are pursued. This scoping review aims to identify the non-mechanical haemodynamic support interventions that have been investigated for the management of acute PE, and to map the available evidence for each intervention.

methodsAn iterative search of MEDLINE, Embase, CINAHL and the Cochrane Library was performed to map all available animal studies, case-series, observational studies, human trials, systematic reviews and meta-analyses that investigate any non-mechanical haemodynamic support in acute PE.

results6,362 unique articles were screened and of the 132 studies that met the eligibility criteria, 98 were animal studies, 31 human studies, and 3 were systematic reviews. Among all studies 57 different agents were found, including 16 among the human studies. 6 agents were investigated across 7 human randomised controlled trials (RCTs) and included inhaled nitric oxide, fluid, furosemide, diclofenac, sildenafil, and epoprostenol, but were limited to intermediate-risk PE and none demonstrated a mortality benefit from the intervention tested.

conclusionThe evidence to guide clinical practice in the non-mechanical haemodynamic support of PE is severely limited. However, there are numerous candidate agents that could be further investigated. The high-risk group are an understudied population.

Indexed as

AfterloadHaemodynamic supportInotropyPreloadPulmonary embolism

Identifiers

PMID40824356
PMCPMC12361032

What Socratic 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 Socratic graph.