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Cardiac Ultrasound and Doppler in Critically Ill Patients: Does it Improve Outcome?

  • Chapter
Annual Update in Intensive Care and Emergency Medicine 2014

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM,volume 2014))

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Abstract

Contemporary hemodynamic bedside assessment and management necessitates a versatile tool, which offers instantaneous yet extensive information. Cardiac ultrasound with Doppler is generally considered to be an invaluable tool for assessing hemodynamically compromised patients. The morphology and function of cardiac chambers, including valves and the respective connective tissue, and major vessels can be evaluated and put into a pathophysiological perspective. Furthermore, hemodynamic monitoring, revealing ventricular function, insufficient preload or excessive afterload conditions, can often be fine-tuned using cardiac ultrasound and Doppler [1]. In postoperative mechanically ventilated as well as in non-ventilated critically ill patients, the non-invasive transthoracic mode is often the preferred technique of choice. Transesophageal Doppler echocardiography (TEE) is used in specific indications [2]. Although the transesophageal approach is more invasive, it remains a safe technique both in sick adults and children [3–5]. Less than 0.1 % of TEE interventions are associated with problems induced by the TEE probe, such as bleeding, hoarseness or sore throat. Recent guidelines from the European Society of Intensive Care Medicine (ESICM) strongly suggest this technique should form part of advanced echocardiography training [6].

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Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, UZ Brussel, VUB, 1090, Brussels, Belgium

    J. Poelaert & P. Flamée

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  1. J. Poelaert
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  2. P. Flamée
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Correspondence to J. Poelaert .

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Editors and Affiliations

  1. Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent Prof.

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Poelaert, J., Flamée, P. (2014). Cardiac Ultrasound and Doppler in Critically Ill Patients: Does it Improve Outcome?. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2014. Annual Update in Intensive Care and Emergency Medicine, vol 2014. Springer, Cham. https://doi.org/10.1007/978-3-319-03746-2_26

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  • DOI: https://doi.org/10.1007/978-3-319-03746-2_26

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-03745-5

  • Online ISBN: 978-3-319-03746-2

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