Echocardiography in the Intensive Care Unit

被引:3
作者
Burk R.E. [1 ,2 ,3 ]
Beesley S.J. [1 ,2 ,3 ]
Grissom C.K. [1 ,2 ,3 ]
Hirshberg E.L. [1 ,2 ,3 ,4 ]
Lanspa M.J. [1 ,2 ,3 ]
Brown S.M. [1 ,2 ,3 ,5 ]
机构
[1] Division of Pulmonary and Critical Care Medicine, University of Utah School of Medicine, Salt Lake City, 84132, UT
[2] Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, 84107, UT
[3] Critical Care Echocardiography Service, Intermountain Medical Center, Murray, 84107, UT
[4] Division of Critical Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, 84108, UT
[5] Shock Trauma ICU, 5121 South Cottonwood Street, Murray, 84107, UT
关键词
Critical care; Echocardiography; Fluid therapy; Heart arrest; Hemodynamics; Shock;
D O I
10.1007/s12410-017-9438-9
中图分类号
学科分类号
摘要
Purpose of Review: This review provides an overview of the evidence for and current practices incorporating the use of echocardiography in the intensive care setting. We describe training and certification for critical care echocardiography and the use of echocardiography for the assessment of hemodynamics, fluid responsiveness, diagnosis of shock, procedural guidance, and cardiac arrest. Recent Findings: Recent advances have been made in multiple aspects of critical care echocardiography, including training and certification, assessment of fluid responsiveness in spontaneously breathing patients, and evaluation of undifferentiated shock. Summary: Echocardiography is increasingly used in the intensive care setting. Its applications and evidence base continue to expand. Randomized controlled trials are needed to demonstrate that the use of echocardiography improves patient outcomes. © 2017, Springer Science+Business Media, LLC.
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