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POCUS in Monitoring: LV Systolic Function and Cardiac Output

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Cardiopulmonary Point of Care Ultrasound

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Abstract

Echocardiography has been recognised as a haemodynamic monitoring device in the critically ill patients. Although transthoracic approach provides discontinuous haemodynamic monitoring, it can be readily repeated at the bedside. In this chapter, the authors will describe how to use POCUS to estimate cardiac output non-invasively which would be pivotal in the diagnosis and management of cardiogenic shock. Myocardial contractility is one of the determinants of cardiac output. Hence, its assessment is paramount. There are different echocardiographic tools to evaluate left ventricular myocardial contractility. The authors will describe different methodologies, their main strengths and limitations. Starting with two-dimensional echocardiography (e.g., Ejection Fraction), Doppler assessment (e.g., dP/dT) and M-mode techniques (e.g., MAPSE). Finally, a section dedicated to regional systolic function in which latest recommendations for segmentation of the LV and different aetiologies for regional wall motion abnormalities will be discussed.

I would especially commend the physician who, in acute diseases, by which the bulk of mankind are cut off, conducts the treatment better than others

HIPPOCRATES. Greek physician and the father of modern medicine. (460 BC-370 BC)

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Author information

Authors and Affiliations

  1. Department of Critical Care, Royal Papworth Hospital, Cambridge, UK

    Francisca Caetano

  2. Department of Anaethetics and Critical Care, Harefield Hospital, Royal Brompton and Harefield Hospitals, London, UK

    Hatem Soliman-Aboumarie

  3. School of Cardiovascular Medicine and Sciences, King’s College London, London, UK

    Hatem Soliman-Aboumarie

Authors
  1. Francisca Caetano
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  2. Hatem Soliman-Aboumarie
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Corresponding author

Correspondence to Hatem Soliman-Aboumarie .

Editor information

Editors and Affiliations

  1. Department of Anaesthetics and Critical Care, Royal Brompton and Harefield Hospitals, London, UK

    Hatem Soliman-Aboumarie

  2. Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil

    Marcelo Haertel Miglioranza

  3. Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy

    Luna Gargani

  4. San Luigi Gonzaga University Hospital, Orbassano, Italy

    Giovanni Volpicelli

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Caetano, F., Soliman-Aboumarie, H. (2023). POCUS in Monitoring: LV Systolic Function and Cardiac Output. In: Soliman-Aboumarie, H., Haertel Miglioranza, M., Gargani, L., Volpicelli, G. (eds) Cardiopulmonary Point of Care Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-29472-3_18

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  • DOI: https://doi.org/10.1007/978-3-031-29472-3_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-29471-6

  • Online ISBN: 978-3-031-29472-3

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