The Role of Echocardiography in Hemodynamic Assessment of Septic Shock

被引:42
作者
Griffee, Matthew J. [1 ]
Merkel, Matthias J. [1 ]
Wei, Kevin S. [2 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Anesthesiol & Perioperat Med, Portland, OR 97239 USA
[2] Oregon Hlth & Sci Univ, Dept Med, Div Cardiovasc Med, Portland, OR 97239 USA
关键词
Echocardiography; Septic shock; Resuscitation; Fluid therapy; Cor pulmonale; PREDICTING FLUID RESPONSIVENESS; HAND-HELD ECHOCARDIOGRAPHY; CRITICALLY-ILL PATIENTS; INTENSIVE-CARE-UNIT; VENA-CAVA DIAMETER; TRANSTHORACIC ECHOCARDIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; RESPIRATORY CHANGES; VENTILATED PATIENTS; PRESSURE;
D O I
10.1016/j.ccc.2010.01.001
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
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.
引用
收藏
页码:365 / +
页数:19
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