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Doppler Echocardiography in ICU Patients: Does it Improve Outcome?

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Anaesthesia, Pharmacology, Intensive Care and Emergency Medicine A.P.I.C.E.

Abstract

Modern haemodynamic management at the bedside obliges the use of a highly effective tool with instantaneous availability, flexibility and access to extensive information when needed. Echocardiography provides immediate bedside information about the haemodynamics of the ICU patient, in particular when haemodynamic deterioration occurs. Both morphological and haemodynamic features can be diagnosed instantly and related to clinical practice. In the ICU, this tool is used as a functional haemodynamic monitoring device offering on-line information on systolic function and pre- and afterload of both left and right ventricles

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References

  1. Poelaert JI, Schupfer G (2005) Hemodynamic monitoring utilizing transesophageal echocardiography: the relationships among pressure, flow, and function. Chest 127:379–390

    Article  PubMed  Google Scholar 

  2. Vignon P, Allot V, Lesage J et al (2007) Diagnosis of left ventricular diastolic dysfunction in the setting of acute changes in loading conditions. Crit Care 11:R43

    Article  PubMed  Google Scholar 

  3. Daniel WG, Erbel R, Kasper W et al (1991) Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 83:817-821

    PubMed  CAS  Google Scholar 

  4. Colreavy FB, Donovan K, Lee KY, Weekes J (2002) Transesophageal echocardiography in critically ill patients. Crit Care Med 30:989–996

    Article  PubMed  Google Scholar 

  5. Edvardsen T, Urheim S, Skulstad H et al (2002) Quantification of left ventricular systolic function by tissue Doppler echocardiography: added value of measuring pre- and postejection velocities in ischemic myocardium. Circulation 105:2071–2077

    Article  PubMed  Google Scholar 

  6. Amà R, Segers P, Roosens C et al (2004) Effects of load on systolic mitral annular velocity by tissue Doppler imaging. Anesthesia Analgesia 99:332–338

    PubMed  Google Scholar 

  7. Poelaert J, Mayo P (2007) Education and evaluation of knowledge and skills in echocardiography: how should we organize? Intensive Care Med 33:1684–1686

    Article  PubMed  Google Scholar 

  8. Cholley BP, Vieillard-Baron A, Mebazaa A (2006) Echocardiography in the ICU: time for widespread use! Intensive Care Med 32:9–10

    Article  PubMed  Google Scholar 

  9. Charron C, Prat G, Caille V et al (2007) Validation of a skills assessment scoring system for transesophageal echocardiographic monitoring of hemodynamics. Intensive Care Med 33:1712–1718

    Article  PubMed  Google Scholar 

  10. Leung JM, Levine EH (1994) Left ventricular end-systolic cavity obliteration as an estimate of intraoperative hypovolemia. Anesthesiology 81:1102–1109

    Article  PubMed  CAS  Google Scholar 

  11. Boden WE, Smulyan H, Potts J et al (1978) Elevated ejection fractions in patients with the anginal syndrome and normal coronary arteriograms. Cathet Cardiovasc Diagn 4:249–263

    Article  PubMed  CAS  Google Scholar 

  12. Giacomin E, Palmerini E, Ballo P et al (2008) Acute effects of caffeine and cigarette smoking on ventricular long-axis function in healthy subjects. Cardiovasc Ultrasound 6:9

    Article  PubMed  Google Scholar 

  13. Borlaug BA, Melenovsky V, Redfield MM et al (2007) Impact of arterial load and loading sequence on left ventricular tissue velocities in humans. J Am Coll Cardiol 50:1570–1577

    Article  PubMed  Google Scholar 

  14. Faris R, Coats AJ, Henein MY (2002) Echocardiography-derived variables predict outcome in patients with nonischemic dilated cardiomyopathy with or without a restrictive filling pattern. Am Heart J 144:343–350

    Article  PubMed  Google Scholar 

  15. Poelaert J, Roosens C (2007) Myocardial Doppler velocities as a marker of prognosis in the ICU. Crit Care 11:167

    Article  PubMed  Google Scholar 

  16. Oki T, Tabata T, Mishiro Y et al (1999) Pulsed tissue Doppler imaging of left ventricular systolic and diastolic wall motion velocities to evaluate differences between long and short axes in healthy subjects. J Am Soc Echocardiogr 12:308–313

    Article  PubMed  CAS  Google Scholar 

  17. Yu CM, Chan JY, Zhang Q et al (2009) Impact of cardiac contractility modulation on left ventricular global and regional function and remodeling. JACC Cardiovasc Imaging 2:1341–1349

    Article  PubMed  Google Scholar 

  18. 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

    Article  PubMed  Google Scholar 

  19. Jacques DC, Pinsky MR, Severyn D, Gorcsan J III (2004) Influence of alterations in loading on mitral annular velocity by tissue Doppler echocardiography and its associated ability to predict filling pressures. Chest 126:1910–1918

    Article  PubMed  Google Scholar 

  20. Sagie A, Schwammenthal E, Padial LR et al (1994) Determinants of functional tricuspid regurgitation in incomplete tricuspid valve closure: Doppler color flow study of 109 patients. J Am Coll Cardiol 24:446–453

    Article  PubMed  CAS  Google Scholar 

  21. Yock P, Popp R (1984) Noninvasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation. Circulation 70:657–662

    Article  PubMed  CAS  Google Scholar 

  22. Vieillard-Baron A, Prin S, Chergui K et al (2002) Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit. Am J Respir Crit Care Med 166:1310–1319

    Article  PubMed  Google Scholar 

  23. Vieillard-Baron A, Chergui K, Augarde R et al (2003) Cyclic changes in arterial pulse during respiratory support revisited by Doppler echocardiography. Am J Respir Crit Care Med 168:671–676

    Article  PubMed  Google Scholar 

  24. Jardin F, Vieillard-Baron A (2003) Right ventricular function and positive pressure ventilation in clinical practice: from haemodynamic subsets to respirator settings. Intensive Care Med 29:1426–1434

    Article  PubMed  Google Scholar 

  25. Schmitt J, Vieillard-Baron A, Augarde R et al (2001) Positive end-expiratory pressure titration in acute respiratory distress syndrome: impact on right ventricular outflow impedance evaluated by pulmonary artery Doppler flow velocity measurements. Crit Care Med 29:1154–1158

    Article  PubMed  CAS  Google Scholar 

  26. Poelaert J, Visser C, Everaert J et al (1993) Acute hemodynamic changes of inverse ratio ventilation in adult respiratory distress syndrome. A transesopahgeal echo Doppler study. Chest 104:214–219

    CAS  Google Scholar 

  27. Poelaert JI, Reichert CL, Koolen JJ et al (1992) Transesophageal Echo-Doppler evaluation of the hemodynamic effects of positive-pressure ventilation after coronary artery surgery. J Cardiothorac Vasc Anesth 6:438–443

    Article  PubMed  CAS  Google Scholar 

  28. Feissel M, Michard F, Faller JP, Teboul JL (2004) The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med 30: 1834–1837

    Article  PubMed  Google Scholar 

  29. Michard F, Teboul JL (2000) Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation. Crit Care 4:282–289

    Article  PubMed  CAS  Google Scholar 

  30. Slama M, Masson H, Teboul JL et al (2002) Respiratory variations of aortic VTI: a new index of hypovolemia and fluid responsiveness. Am J Physiol Heart Circ Physiol 283:H1729–H1733

    PubMed  CAS  Google Scholar 

  31. Barbier C, Loubieres Y, Schmit C et al (2004) Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med 30:1740–1746

    PubMed  Google Scholar 

  32. Vieillard-Baron A, Augarde R, Prin S et al (2001) Influence of superior vena caval zone condition on cyclic changes in right ventricular outflow during respiratory support. Anesthesiology 95:1083–1088

    Article  PubMed  CAS  Google Scholar 

  33. Beaulieu Y (2007) Specific skill set and goals of focused echocardiography for critical care clinicians. Crit Care Med 35:S144–149

    Article  PubMed  Google Scholar 

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Authors
  1. J. Poelaert
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Editors and Affiliations

  1. Department and School of Anaesthesia and Intensive Care, Catania University-Hospital, Catania, Italy

    Antonino Gullo

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© 2011 Springer-Verlag Italia

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Poelaert, J. (2011). Doppler Echocardiography in ICU Patients: Does it Improve Outcome?. In: Gullo, A. (eds) Anaesthesia, Pharmacology, Intensive Care and Emergency Medicine A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2014-6_10

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  • DOI: https://doi.org/10.1007/978-88-470-2014-6_10

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2013-9

  • Online ISBN: 978-88-470-2014-6

  • eBook Packages: MedicineMedicine (R0)

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