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Clinician-performed ultrasound in hemodynamic and cardiac assessment: a synopsis of current indications and limitations

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Abstract

Accurate hemodynamic and intravascular volume status assessment is essential in the diagnostic and therapeutic management of critically ill patients. Over the last two decades, a number of technological advances were translated into a variety of minimally invasive or non-invasive hemodynamic monitoring modalities. Despite the promise of less invasive technologies, the quality, reliability, reproducibility, and generalizability of resultant hemodynamic and intravascular volume status data have been lacking. Since its formal introduction, ultrasound technology has provided the medical community with a more standardized, higher quality, broadly applicable, and reproducible method of accomplishing the above-mentioned objectives. With the advent of portable, hand-carried devices, the importance of sonography in hemodynamic and volume status assessment became clear. From basic venous collapsibility and global cardiac assessment to more complex tasks such as the assessment of cardiac flow and tissue Doppler signals, the number of real-life indications for sonology continues to increase. This review will provide an outline of the essential ultrasound applications in hemodynamic and volume status assessment, focusing on evidence-based uses and indications.

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Conflict of interest

The following authors of this manuscript: Nicholas Kelly, Rogette Esteve, Thomas J. Papadimos, Richard P. Sharpe, Scott A. Keeney, Robert DeQuevedo, Marc Portner, David P. Bahner, and Stanislaw P. Stawicki declare that they have no conflict of interest related to this work.

Compliance with ethical requirements

This work is in compliance with ethical requirements.

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Authors and Affiliations

  1. Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA

    N. Kelly & R. Esteve

  2. Department of Anesthesiology, The Ohio State University College of Medicine, Columbus, OH, USA

    T. J. Papadimos

  3. Level I Regional Trauma Center, St Luke’s University Hospital, Bethlehem, PA, USA

    R. P. Sharpe, S. A. Keeney, M. Portner & S. P. Stawicki

  4. Department of Anesthesiology, St Luke’s University Health Network, Bethlehem, PA, USA

    R. DeQuevedo

  5. Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, OH, USA

    D. P. Bahner

  6. Department of Research and Innovation, St Luke’s University Health Network, NW2 Administration, 801 Ostrum Street, Bethlehem, PA, 18015, USA

    S. P. Stawicki

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  1. N. Kelly
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  8. D. P. Bahner
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  9. S. P. Stawicki
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Kelly, N., Esteve, R., Papadimos, T.J. et al. Clinician-performed ultrasound in hemodynamic and cardiac assessment: a synopsis of current indications and limitations. Eur J Trauma Emerg Surg 41, 469–480 (2015). https://doi.org/10.1007/s00068-014-0492-6

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  • DOI: https://doi.org/10.1007/s00068-014-0492-6

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