Conclusion
The interplay between cardiac function and general systemic disturbances is at the core of intensive care practice. Echocardiography is becoming ‘mainstream’, in that many ICUs now have their own machine and the objective is to utilize it during, as well as outside, regular working hours. Clinical urgency demands application at any time. Echocardiography frequently yields important diagnostic information, non-invasively, usually rapidly, and it can be readily reapplied as the situation demands. It has evolved from being a useful adjunct in the past to what is now an indispensable tool in the management of the critically ill patient.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Seppelt I, McLean A, Ting I (2000) Tricuspid regurgitant jet measured by transthoracic echocardiography accurately estimates pulmonary artery pressures in the critically ill. Anaesth Intensive Care 29:193 (abst)
Skjaerpe T, Hegrenaes L, Hatle L (1985) Noninvasive estimation of valve area in patients with aortic stenosis by Doppler ultrasound and two-dimensional echocardiography. Circulation 72:810–818
McLean AS (1999) The value of echocardiography during Cardiopulmonary Resuscitation. Asia Pacific Heart J 8:106–109
Schiller NB (1991) Two-dimensional determination of left ventricular volume, systolic function, and mass. Circulation 84(Suppl I):I280–I287
Erbel R, Schweizer P, Lambertz H, et al (1983) Echoventriculography — a simultaneous analysis of two-dimensional echocardiography and cineventriculography. Circulation 67:205–215
Nishimura RA, Callahan MJ, Schaff HV, Ilstrup DM, Miller FA, Tajik AJ (1984) Noninvasive measurement of cardiac output by continuous-wave Doppler echocardiography: initial experience and review of the literature. Mayo Clin Proc 59:484–489
Izzat MB, Regragui IA, Wilde P, Angelini GD, Bryan AJ (1994) Transoesophageal echocardiography measurements of cardiac output in cardiac surgical patients. Ann Thor Surg 58:1486–1489
Chung N, Nishimura RA, Holmes DR Jr, Tajik AJ (1992) Measurement of left ventricular dP/dt by simultaneous Doppler echocardiography and cardiac catheterization. J Am Soc Echocardiogr 5:147–152
McLean AS, Needham A, Stewart D, Parkin R (1997) Estimation of cardiac output by noninvasive echocardiographic techniques in the critically ill subject. Anaesth Intensive Care 25:250–254
Mueller X, Stauffer JC, Jaussi A, Goy JJ, Kappenberger L (1991) Subjective visual echocardiographic estimate of left ventricular ejection fraction as an alternative to conventional echocardiographic methods: Comparison with contrast angiography. Clin Cardiol 14:898–902
Amico AF, Lichtenberg GS, Reisner SA, Stone CK, Schwartz RG, Meltzer RS (1989) Superiority of visual versus computerized echocardiography estimation radionuclide left ventricular ejection fraction. Am Heart J 118:1259–1265
Soufer R, Wohlgelernter D, Vita NA, et al (1985) Intact systolic left ventricular function in clinical congestive heart failure. Am J Cardiol 55:1032–1036
Dougherty AH, Naccarelli GV, Gray EL, Hicks CH, Goldstein RA (1984) Congestive heart failure with normal systolic function. Am J Cardiol 54:778–782
Nishimura RA, Housmans PR, Hatle LK, Tajik AJ (1989) Assessment of diastolic function of the heart: background and current applications of Doppler echocardiography. Part I. Physiologic and pathophysiologic features. Mayo Clin Proc 64:71–81
Rodriguez L, Garcia M, Ares M, Griffin BP, Nakatani S, Thomas JD (1996) Assessment of mitral annular dynamics during diastole by Doppler tissue imaging: comparison with mitral Doppler inflow in subjects without heart disease and in patients with left ventricular hypertrophy. Am Heart J 131:982–987
Sohn DW, Song JM, Zo JH, et al (1999) Mitral annulus velocity in the evaluation of left ventricular diastolic function in atrial fibrillation. J Am Soc Echocardiogr 12:927–931
Hammarstrom E, Wranne B, Pinto FJ, Puryear J, Popp RL (1991) Tricuspid annular motion. J Am Soc Echocardiogr 4:131–139
Meluzin J, Spinarova L, Bakala J et al (2001) Pulsed Doppler tissue imaging of the velocity of tricuspid annular systolic motion. Eur Heart J 22:340–348
Tei C, Dujardin KS, Hodge DO, et al (1996) Doppler echocardiographic index for assessment of global right ventricular function. J Am Soc Echocardiogr 9:838–847
Leung JM, Levine EH (1984) Left ventricular end-systolic cavity obliteration as an estimate of intraoperative hypovolaemia. Anesthesiology 81:1102–1109
Royse CF, Royse AG, Soeding PF, Blake DW (2001) Shape and movement of the interatrial septum predicts change in pulmonary capillary wedge pressure. Ann Thorac Cardiovasc Surg 7:79–83
Cheung AT, Savino JS, Weiss SJ, Aukburg SJ, Berlin JA (1994) Echocardiographic and hemodynamic indexes of left ventricular preload in patients with normal and abnormal ventricular function. Anesthesiology 81:376–387
Axler O, Tousignant C, Thompson CR, et al (1996) Comparison of transesophageal echocardiographic, Fick, and thermodilution cardiac output in critically ill patients. J Crit Care 11:109–116
Pozzoli M, Traversi E, Roelandt JR (2002) Non-invasive estimation of left ventricular filling pressures by Doppler echocardiography. Eur J Echocardiogr 3:75–79
Ommen SR, Nishimura RA, Appleton CP, et al (2000) Clinical utility of doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures. Circulation 102:1788–1794
Combes A, Arnoult F, Trouillet JL (2004) Tissue Doppler imaging estimation of pulmonary artery occlusion pressure in ICU patients. Intensive Care Med 30:75–81
Kircher BJ, Himelman RB, Schiller NB (1990) Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol 66:493–496
Vieillard-Baron A, Augarde R, Prin S, Page B, Beauchet A, Jardin F (2001) Influence of superior vena cava zone condition on cyclic changes in right ventricular outflow tract during respiratory support. Anaesthesiology 95:1083–1088
Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F (2003) Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 168:1270–1276
McLean AS, Huang SJ, Nalos M, Ting I (2005) Duration of the beneficial effects of levosimendan in decompensated heart failure as measured by echocardiographic indices and B-type natriuretic peptide. J Cardiovasc Pharmacol 46:830–835
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
McLean, A.S., Huang, S.J. (2006). Intensive Care Echocardiography. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2006. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-33396-7_13
Download citation
DOI: https://doi.org/10.1007/3-540-33396-7_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-30155-4
Online ISBN: 978-3-540-33396-8
eBook Packages: MedicineMedicine (R0)