Document Detail


Use of echocardiography for hemodynamic monitoring.
MedLine Citation:
PMID:  12072695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the accuracy of echocardiography for hemodynamic monitoring. DATA SOURCES: A computerized MEDLINE search was used with the following search headings: monitoring (physiologic and intra-operative) and both echocardiography and transesophageal echocardiography. A number of studies were obtained from the reference lists of cardiology reviews and textbooks. STUDY SELECTION: Studies that were designed to assess the accuracy of hemodynamic monitoring. DATA EXTRACTION: From the selected studies, the accuracy of different techniques for measuring preload and cardiac output was compared. DATA SYNTHESIS: Hypovolemia can be detected accurately by measuring left ventricular end-diastolic area. At high preload, Doppler-based methods are more accurate, although further studies in critical care patients are needed. Cardiac output is best measured by measuring Doppler flow, preferably across the aortic valve. CONCLUSIONS: Echocardiography can be used to make accurate hemodynamic measurements; however, training is required. Further studies are needed to validate these methods in the management of critically ill patients.
Authors:
Julian M Brown
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  30     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-19     Completed Date:  2002-07-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1361-4     Citation Subset:  AIM; IM    
Affiliation:
Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Australia.
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MeSH Terms
Descriptor/Qualifier:
Echocardiography*
Echocardiography, Transesophageal*
Hemodynamics*
Humans
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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