| The role of echocardiography in hemodynamic assessment of septic shock. | |
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MedLine Citation:
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PMID: 20381726 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Matthew J Griffee; Matthias J Merkel; Kevin S Wei |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical care clinics Volume: 26 ISSN: 1557-8232 ISO Abbreviation: Crit Care Clin Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-12 Completed Date: 2010-07-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507720 Medline TA: Crit Care Clin Country: United States |
Other Details:
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Languages: eng Pagination: 365-82, table of contents Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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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 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Echocardiography
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instrumentation,
methods* Fluid Therapy / methods Hemodynamics / physiology Humans Shock, Septic / diagnosis, physiopathology* Ventricular Dysfunction, Right / diagnosis, etiology |
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