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Volume 3 Supplement 1

ESICM LIVES 2015

Point of care ultrasound - the noninvasive evaluation of hemodynamic status

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Introduction

Echocardiography(ECHO) is a useful diagnostic and monitoring tool. It allows to perform repetitive hemodynamic and functional assessment over a period of minutes, hours or days in the same patients to guide applied therapy. ECHO has been performed by our medical staff for 3 years and since then we have been observing reduced number of using invasive monitoring in our ICU.

Objectives

The aim of the study was to analyze impact on diagnosis, decision making and management based on data received from invasive monitoring vs. echocardiography.

Methods

Data from 2 years before and 2 years after implementing a routine echocardiography to provide hemodynamic assessments have been compared and statistical analysis has been made.

Results

Table 1 Results.

Conclusions

Echocardiography could be a useful method to asses patients hemodynamic status and to plan fluid or inotropic therapy. In our investigation ECHO allowed to reduce usage of fluids and

did not influence on mean time of mechanical ventilation and mortality.

Grant Acknowledgment

ICU Staff.

References

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    Poter TR, Shillcutt SK, Adams MS, Desjardins G, Glas KE, Olson JJ, et al: Guidelines for the Use of Echocardiography as a Monitor for Therapeutic Intervention in Adults: A Report from the American Society of Echocardiography. J Am Soc Echocardiogr. 2015, 28 (1): 40-56. 10.1016/j.echo.2014.09.009.

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    Roscoe A, Strang T: Echocardiography in intensive care. Contin Educ Anaesth Crit Care Pain. 2008, 8 (2): 46-49. 10.1093/bjaceaccp/mkn002.

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    Charron C, Caille V, Jardin F, Vieillard-Baron A: Echocardiographic measurement of fluid responsiveness. Curr Opin Crit Care. 2006, 12 (3): 249-254. 10.1097/01.ccx.0000224870.24324.cc.

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    Repessé X, Charron C, Vieillard-Baron A: Intensive care ultrasound: V. Goal-directed echocardiography. Ann Am Thorac Soc. 2014, 11 (1): 122-128. 10.1513/AnnalsATS.201309-293OT.

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    Charron C, Repessé X, Bodson L, Au SM, Vieillard-Baron A: Ten good reasons why everybody can and should perform cardiac ultrasound in the ICU. Anaesthesiol Intensive Ther. 2014, 46 (5): 319-322. 10.5603/AIT.2014.0055.

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Author information

Correspondence to T Zawada.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Zawada, T., Wieczorek, A. & Garba, P. Point of care ultrasound - the noninvasive evaluation of hemodynamic status. ICMx 3, A543 (2015) doi:10.1186/2197-425X-3-S1-A543

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Keywords

  • Public Health
  • Decision Making
  • Mechanical Ventilation
  • Medical Staff
  • Functional Assessment