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Why and How to Use Echocardiography in Acute Respiratory Distress Syndrome

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Hemodynamic Monitoring Using Echocardiography in the Critically Ill

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Abstract

In addition to excluding hydrostatic edema and monitoring the patient with septic shock or trauma, which are the leading causes of acute respiratory distress syndrome (ARDS), echocardiography is useful as it may detect some specific hemodynamic alterations related to the disease or its therapy, and this may have marked influence on ARDS management.

Pulmonary hypertension is frequent in ARDS patients. Though it is usually mild and often accompanied by some degree of right ventricular dysfunction, it ordinarily does not lead to right ventricular failure. However, in some cases, especially when heavy ventilatory conditions are applied – high positive end-expiratory pressure (PEEP) or decreased expiratory time – acute cor pulmonale may develop. Detecting this condition may help in better adjusting ventilatory settings. A patent foramen ovale with a right-to-left shunt should always be considered, as it may contribute to hypoxemia and mandates decrease in respiratory pressures.

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Authors and Affiliations

  1. Intensive Care Unit, University Hospital Ambroise Paré, Assistance Publique Hôpitaux de Paris, 9 avenue Charles de Gaulle, 92104, Boulogne Cedex, France

    Antoine Vieillard-Baron & François Jardin

  2. Service de Réanimation médicale, Hôpital Ambroise Paré, 9, avenue Charles-de-Gaulle, 92104, Boulogne Cedex, France

    Antoine Vieillard-Baron & François Jardin

Authors
  1. Antoine Vieillard-Baron
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  2. François Jardin
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Correspondence to Antoine Vieillard-Baron .

Editor information

Editors and Affiliations

  1. , Department of Intenisve Care, Erasme University Hospital, route de Lennik 808, Bruxelles, 1070, Belgium

    Daniel de Backer

  2. Service d'Anesthésie-Réanimation, Hôpital Européen Georges Pompidou, rue Ambroise Paré 2, Paris CX 10, 75475, France

    Bernard P. Cholley

  3. , Unité de Réanimation Médicale, Centre Hospitalier Universitaire, Avenue Laennec, Amiens Cedex 1, 80054, France

    Michel Slama

  4. Ambroise Paré, Intensive Care & Reanimation Unit, Centre Hospitalier Universitaire, avenue Charles de Gaulle 9, Boulogne Cedex, 92104, France

    Antoine Vieillard-Baron

  5. Hôpital Dupuytren, Dépt. Soin Intensive, Université de Limoges, avenue Martin Luther King 2, Limoges, 87042, France

    Philippe Vignon

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© 2011 Springer Berlin Heidelberg

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Vieillard-Baron, A., Jardin, F. (2011). Why and How to Use Echocardiography in Acute Respiratory Distress Syndrome. In: de Backer, D., Cholley, B., Slama, M., Vieillard-Baron, A., Vignon, P. (eds) Hemodynamic Monitoring Using Echocardiography in the Critically Ill. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-87956-5_17

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  • DOI: https://doi.org/10.1007/978-3-540-87956-5_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-87954-1

  • Online ISBN: 978-3-540-87956-5

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