超声心动图在估计液体反应性方面的实用性。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Journal of clinical medicine research Pub Date : 2024-04-01 Epub Date: 2024-04-30 DOI:10.14740/jocmr5114
Nnedindu Asogwa, Marc Assaad, Joanne Ling, Gennifer Wahbah Makhoul, Halim El Hage
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引用次数: 0

摘要

评估危重病人的容量状态是维持血液动力学稳定的关键;然而,由于病例的复杂性和休克病因的多样性,评估容量状态具有挑战性。已有多种无创方法用于研究容量复苏的有效性,但没有一种方法被用作金标准。我们旨在说明最常用的技术:左心室流出道速度时间积分与下腔静脉压缩指数,并强调它们的局限性和优势。这些工具都依赖于操作者,并可能受到包括呼吸机设置在内的多种因素的影响。
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The Utility of Echocardiography in Estimating Fluid Responsiveness.

Assessing the volume status in critically ill patients is the key to maintain the stability of the hemodynamics; however, it can be challenging to view the complexity of cases and the diversity of shock etiology. Multiple noninvasive means have been used to study the effectiveness of volume resuscitation, but none of them have been used as gold standard. We aim to illustrate the most used techniques: left ventricular outflow tract velocity time integral versus inferior vena cava compressibility index, and highlight their limitations and strengths. These tools are both operator-dependent and might be affected by several factors including ventilator settings.

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