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Echocardiography in the Critical Care Unit

  • Anita Sadeghpour
  • Azin Alizadehasl
Chapter

Abstract

Transthoracic echocardiography (TTE) has been incorporated effectively into patient care in 90% of critically ill patients. However, despite its advantages in terms of its noninvasive nature, the quality of the images may be insufficient-particularly in chest traumas and intrathoracic surgery. That is why transesophageal echocardiography (TEE) has replaced TTE in the intensive care unit (ICU), especially in patients with an endotracheal tube. Even now, there is a broad range of echo applications available to ICU physicians to enhance and improve their care of critically ill patients, with many new applications on their way.

Keywords

Transthoracic echocardiography (TTE) Transesophageal echocardiography (TEE) Critical Care Unit Intensive care unit (ICU) Cardiac arrest Aortic dissection Tamponade Pulmonary emboli 

Abbreviations

CO

Cardiac output

CPR

Cardiopulmonary resuscitation

EF

Ejection fraction

ICU

Intensive care unit

LV

Left ventricular

LVED

Left ventricular end-diastolic

LVES

Left ventricular end-systolic

LVOT

Left ventricular outflow tract

PTE

Pulmonary thromboembolism

RV

Right ventricular

RVOT

Right ventricular outflow tract

SAM

Systolic anterior motion

SV

Stroke volume

TEE

Transesophageal echocardiography

TTE

Transthoracic echocardiography

VTI

Velocity time integral

Supplementary material

Movie 32.1

(related to Fig. 32.2): Large circumferential pericardial effusion and classic RV free wall diastolic collapse (AVI 3591 kb)

Movie 32.2

(related to Fig. 32.4): TEE from an Type A extended acute aortic dissection that transferred directly to the operating room (WMV 6374 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Anita Sadeghpour
    • 1
  • Azin Alizadehasl
    • 2
  1. 1.Professor of CardiologyEchocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran
  2. 2.Associate Professor of Cardiology, Echocardiologist, Echocardiography and Cardiogenetic Research CentersCardio-Oncology Department, Rajaie Cardiovascular Medical and Research CenterTehranIran

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