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Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open Access

Point of care ultrasound - the noninvasive evaluation of hemodynamic status

  • 1,
  • 1 and
  • 1
Intensive Care Medicine Experimental20153 (Suppl 1) :A543

https://doi.org/10.1186/2197-425X-3-S1-A543

  • Published:

Keywords

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

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.

 

2011-2012

2013-2014

p

Number of hospitalized patients

666

648

NS

SAPS2

52.6

53

NS

Mean age of hospitalized patients

61

62

NS

Mean time of ICU hospitalization (days)

7.1

8.0

NS

Infections rate/1000

34.3

55.6

NS

Mean time of mechanical ventilation

6.2

8.3

NS

COST OF COLLOIDS per year (euro)

6110

2755

p < 0.05

COST OF CRISTALLOIDS per year (euro)

2985

4118.5

p < 0.05

Mortality

36.5%

36%

NS

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.

Authors’ Affiliations

(1)
4 WSK z Poliklinika we Wroclawiu, Wrocław, Poland

References

  1. 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.View ArticleGoogle Scholar
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Copyright

© Zawada et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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