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A decade of progress in critical care echocardiography: a narrative review
Univ Hosp Ambroise Pare, France; Univ Versailles St Quentin En Yvelines, France.
Univ Ottawa, Canada.
Policlin Vittorio Emanuele Univ Hosp, Italy.
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Linköping (ANOPIVA).
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2019 (English)In: Intensive Care Medicine, ISSN 0342-4642, E-ISSN 1432-1238, Vol. 45, no 6, p. 770-788Article, review/survey (Refereed) Published
Abstract [en]

IntroductionThis narrative review focusing on critical care echocardiography (CCE) has been written by a group of experts in the field, with the aim of outlining the state of the art in CCE in the 10 years after its official recognition and definition.ResultsIn the last 10years, CCE has become an essential branch of critical care ultrasonography and has gained general acceptance. Its use, both as a diagnostic tool and for hemodynamic monitoring, has increased markedly, influencing contemporary cardiorespiratory management. Recent studies suggest that the use of CCE may have a positive impact on outcomes. CCE may be used in critically ill patients in many different clinical situations, both in their early evaluation of in the emergency department and during intensive care unit (ICU) admission and stay. CCE has also proven its utility in perioperative settings, as well as in the management of mechanical circulatory support. CCE may be performed with very simple diagnostic objectives. This application, referred to as basic CCE, does not require a high level of training. Advanced CCE, on the other hand, uses ultrasonography for full evaluation of cardiac function and hemodynamics, and requires extensive training, with formal certification now available. Indeed, recent years have seen the creation of worldwide certification in advanced CCE. While transthoracic CCE remains the most commonly used method, the transesophageal route has gained importance, particularly for intubated and ventilated patients.ConclusionCCE is now widely accepted by the critical care community as a valuable tool in the ICU and emergency department, and in perioperative settings.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 45, no 6, p. 770-788
Keywords [en]
Critical care echocardiography; Transthoracic echocardiography; Transesophageal echocardiography; Ultrasonography; Hemodynamic monitoring
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:liu:diva-158304DOI: 10.1007/s00134-019-05604-2ISI: 000468970900002PubMedID: 30911808OAI: oai:DiVA.org:liu-158304DiVA, id: diva2:1333957
Available from: 2019-07-02 Created: 2019-07-02 Last updated: 2019-07-02

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Chew, Michelle
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Division of Drug ResearchFaculty of Medicine and Health SciencesDepartment of Anaesthesiology and Intensive Care in Linköping (ANOPIVA)
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