Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
| Autor: | Rebeca Muñoz-Rodríguez, Antonio Barragán-Acea, Martín J. García-González, María Amelia Duque-González, Belén Marí-López, María Manuela Izquierdo-Gómez, Juan Lacalzada-Almeida, Marta Martin-Cabeza, Pablo Jorge-Pérez |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cardiac output
medicine.medical_specialty medicine.medical_treatment Hemodynamics Review Impella law.invention law medicine Weaning echocardiography Intensive care medicine lung ultrasound Mechanical ventilation business.industry Cardiogenic shock General Medicine medicine.disease Intensive care unit Diaphragm (structural system) diaphragm cardiogenic shock weaning Medicine ECMO business |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 5108, p 5108 (2021) |
| ISSN: | 2077-0383 |
| Popis: | Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from such support is challenging. Intensive care unit (ICU) bedside echocardiography provides noninvasive, immediate, and low-cost monitoring of hemodynamic parameters such as cardiac output, filling pressure, structural disease, congestion status, and device functioning. Supplemented by an ultrasound of the lung and diaphragm, it is able to provide valuable information about signs suggesting a weaning failure. The aim of this article was to review the state of the art taking into account current evidence and knowledge on ICU bedside ultrasound for the evaluation of weaning from mechanical ventilation and circulatory support in cardiogenic shock. |
| Databáze: | OpenAIRE |
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