The Critical Importance of Hepatic Venous Blood Flow Doppler Assessment for Patients in Shock
| Autor: | Pierre Aslanian, Mustapha Belaidi, Georges Desjardins, André Y. Denault, Jonathan Hulin |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Illness Hepatic Veins 030204 cardiovascular system & hematology Inferior vena cava 03 medical and health sciences 0302 clinical medicine Internal medicine Occlusion medicine Humans Bedside ultrasound 030212 general & internal medicine Aged business.industry Shock Ultrasonography Doppler General Medicine Middle Aged medicine.anatomical_structure Liver medicine.vein Shock (circulatory) Venous blood flow Cardiology Etiology Right atrium Female Radiology medicine.symptom business Echocardiography Transesophageal Venous return curve |
| Zdroj: | A & A Case Reports. 6:114-120 |
| ISSN: | 2325-7237 |
| DOI: | 10.1213/xaa.0000000000000252 |
| Popis: | Hepatic venous blood flow can be easily obtained using bedside ultrasound with either transthoracic or transesophageal echocardiography. Six critically ill patients with shock associated with absent or significantly reduced hepatic venous blood flow in the presence of normal or increased pulmonary venous flow are presented. In all these patients, the etiology of shock was secondary to increased resistance to venous return from either an intraabdominal process or through extrinsic or intrinsic occlusion of the proximal inferior vena cava or right atrium. These shock situations are secondary to increased resistance to venous return. Their treatment is highly specific and typically involves a surgical intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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