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Echocardiography in shock
Linköping University, Department of Biomedical and Clinical Sciences, Division of Clinical Chemistry and Pharmacology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, ANOPIVA US.ORCID iD: 0000-0003-2888-4111
Hop Univ Paris, France; Univ Paris Cite, France.
Charles Univ Prague, Czech Republic; Charles Univ Prague, Czech Republic.
2023 (English)In: Current Opinion in Critical Care, ISSN 1070-5295, E-ISSN 1531-7072, Vol. 29, no 3, p. 252-258Article, review/survey (Refereed) Published
Abstract [en]

Purpose of reviewThe aim of this study was to illustrate the varying roles of echocardiography in all phases of shock ranging from a rapid, diagnostic tool at the bedside, to a tool for monitoring the adequacy and effects of shock treatment and finally for identification of patients suitable for de-escalation of therapy.Recent findingsEchocardiography has become an indispensable tool for establishing diagnosis in patients with shock. It is also important for assessing the adequacy of treatment such as fluid resuscitation, vasopressors and inotropes by providing integrated information on cardiac contractility and systemic flow conditions, particularly when used in conjunction with other methods of advanced haemodynamic monitoring. Apart from a traditional, diagnostic role, it may be used as an advanced, albeit intermittent, monitoring tool. Examples include the assessment of heart-lung interactions in mechanically ventilated patients, fluid responsiveness, vasopressor adequacy, preload dependence in ventilator-induced pulmonary oedema and indications for and monitoring during extracorporeal life support. Emerging studies also illustrate the role of echocardiography in de-escalation of shock treatment.This study provides the reader with a structured review on the uses of echocardiography in all phases of shock treatment.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS , 2023. Vol. 29, no 3, p. 252-258
Keywords [en]
cardiac function; echocardiography; haemodynamic monitoring; shock
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:liu:diva-194444DOI: 10.1097/MCC.0000000000001041ISI: 000984923900016PubMedID: 37078626OAI: oai:DiVA.org:liu-194444DiVA, id: diva2:1764167
Available from: 2023-06-08 Created: 2023-06-08 Last updated: 2023-06-08

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