Critical Care Transthoracic Echocardiography
نویسندگان
چکیده
A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.
منابع مشابه
Focused transthoracic echocardiography during critical care medicine training: curriculum implementation and evaluation of proficiency*.
OBJECTIVES We designed and implemented a focused transthoracic echocardiography curriculum for critical care medicine fellows participating in 1- and 2-year training programs. We quantitatively evaluated their proficiency in focused transthoracic echocardiography. DESIGN Prospective study evaluating curriculum implementation and objective assessment of focused transthoracic echocardiography p...
متن کاملEchocardiography in Intensive Care: The Basics. Part II.
OBJECTIVE To review the current status of echocardiography in critically ill patients with special reference to the advantages and disadvantages of the transthoracic and transoesophageal approaches. DATA SOURCES A review of articles published in peer reviewed journals from 1976-1999 and identified through a MEDLINE search on echocardiography. SUMMARY OF REVIEW Echocardiography is a rapidly ...
متن کاملManagement of cardiopulmonary assist devices in critically ill patients using point-of-care transthoracic echocardiography: a case series
Point-of-care transthoracic echocardiography is increasingly being utilized by the intensive care physicians in the management of hemodynamically unstable patients. However, its use in the management of critically ill patients requiring cardiopulmonary mechanical device support remains to be well described. In this case series, we present two case reports where point-of-care echocardiography wa...
متن کاملTissue Doppler in critical illness
We applaud Sturgess and colleagues [1] for their report on tissue Doppler imaging (TDI) in critical illness. Although their patients were selected and transthoracic echocardiography was performed at variable times after intensive care unit admission, the results provide a glimpse into the use of TDI and have generated many hypotheses. Indeed, there is a paucity of data regarding TDI in the crit...
متن کاملAssociation of left ventricular systolic function and vasopressor support with survival following pediatric out-of-hospital cardiac arrest.
OBJECTIVES To characterize the association of hospital discharge survival with left ventricular systolic function evaluated by transthoracic echocardiography and vasoactive infusion support following return of spontaneous circulation after pediatric out-of-hospital cardiac arrest. DESIGN Retrospective case series. SETTING Single-center tertiary care pediatric cardiac arrest and critical car...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 2 شماره
صفحات -
تاریخ انتشار 2014