Document Detail


The role of echocardiography in hemodynamic assessment of septic shock.
MedLine Citation:
PMID:  20381726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Echocardiography is a rapid, noninvasive, comprehensive cardiac assessment option for patients presenting with hemodynamic instability. In patients with septic shock, echocardiography can be used to guide fluid therapy by measuring collapsibility of the inferior vena cava. Sepsis-induced myocardial dysfunction can be diagnosed, and responses to therapy can be monitored with echo. Patients with persistent shock should be evaluated for right heart failure, dynamic left ventricular obstruction, or tamponade if they do not respond to resuscitation and norepinephrine. Unexpected or rare findings that affect management may be revealed using focused echocardiography. This article presents national and international competency statements regarding critical care echocardiography and training resources for intensivists.
Authors:
Matthew J Griffee; Matthias J Merkel; Kevin S Wei
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care clinics     Volume:  26     ISSN:  1557-8232     ISO Abbreviation:  Crit Care Clin     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507720     Medline TA:  Crit Care Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  365-82, table of contents     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Mailstop UHS-2, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. griffeem@ohsu.edu
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MeSH Terms
Descriptor/Qualifier:
Echocardiography / instrumentation,  methods*
Fluid Therapy / methods
Hemodynamics / physiology
Humans
Shock, Septic / diagnosis,  physiopathology*
Ventricular Dysfunction, Right / diagnosis,  etiology

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