Using the focused rapid echocardiographic evaluation (FREE) is easier than explaining it. Below are examples of guiding complex resuscitation tailored to patient need with ultrasound. The scenarios are adapted from clinical cases using FREEs to direct management. Even though measurements contained in the FREE evolve, changing from time to time, the structure remains the same; patient assessment, selection of a fluid strategy, ultrasound evaluation of cardiac function, volume status, vascular resistance, and anatomic findings are used to generate recommendations about the use of fluid, vasopressors, and inotropic support.
- FREE; hemodynamic profile
- Ejection fraction
- Right ventricular dysfunction