Clin Ultrasound.  2017 Nov;2(2):43-52. 10.18525/cu.2017.2.2.43.

Bedside Echocardiography-Based Hemodynamic Assessment in the Intensive Care Unit

Affiliations
  • 1Department of Cardiovascular Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
  • 2Department of Respiratory Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea

Abstract

Bedside echocardiography has become a useful tool for hemodynamic assessment of patients in the intensive care unit (ICU). Direct visualization of the cardiac anatomy and functions as well as non-invasive measurement of doppler hemodynamics helps not only to diagnose cardiac problems (such as global or regional left ventricular function, valvular heart disease, and pericardial effusion), but also to determine hemodynamic status (such as volume status). The easy accessibility, non-invasiveness, and portability allow periodic monitoring during critical ICU periods. Therefore, increasing requests from ICU physicians make bedside echocardiography a point-of-care especially in hypotensive patients. This review will discuss echocardiography-based assessment of ICU patients, focusing on patients with hypotension or mechanical ventilators.

Keyword

심초음파; 혈역학; 중환자실; Echocardiography; Hemodynamics; Intensive care units
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