Echocardiography for hemodynamic evaluation in the intensive care unit.

Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Shock (Augusta, Ga.) (Impact Factor: 2.73). 09/2010; 34 Suppl 1:59-62. DOI: 10.1097/SHK.0b013e3181e7e8ed
Source: PubMed

ABSTRACT The use of echocardiography in the intensive care unit for patients in shock allows the accurate measurement of several hemodynamic variables in a noninvasive way. By using echocardiography as a hemodynamic monitoring tool, the clinician can evaluate several aspects of shock states, such as cardiac output and fluid responsiveness, myocardial contractility, intracavitary pressures, and biventricular interactions. However, to date, there have been few guidelines suggesting an objective hemodynamic-based examination in the intensive care unit, and most intensivists are usually not familiar with this tool. In this review, we describe some of the most important hemodynamic parameters that can be obtained at the bedside with transthoracic echocardiography.

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Available from: Claudio Henrique Fischer, Aug 22, 2015
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