Echocardiography in a critical care unit: a contemporary review
Mohsin, Muhammad Farooq, Muhammad Umar Akhtar, Waheed Mustafa, Waqar Rehman, Tanzeel Ur Malik, Jahanzeb Zahid, Taimoor
Mohsin, Muhammad
Farooq, Muhammad Umar
Akhtar, Waheed
Mustafa, Waqar
Rehman, Tanzeel Ur
Malik, Jahanzeb
Zahid, Taimoor
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Affiliation
Rawalpindi Institute of Cardiology, Pakistan; Abbas Institute of Medical Sciences, Pakistan; Benazir Bhutto Hospital, Pakistan; South Warwickshire University NHS Foundation Trust
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Publication date
2022-01
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Abstract
Introduction: Echocardiography is a rapid, noninvasive, and complete cardiac assessment tool for patients with hemodynamic instability. Relevant articles were extracted after searching on databases by two reviewers and incorporated in this review in anarrative style.
Areas covered: his review provides an overview of the evidence for current practices in critical care units (CCUs), incorporating the use of echocardiography in different etiologies of shock.
Expert opinion: In an acute scenario, a basic echocardiographic study yields prompt diagnosis, allowing for the initiation of treatment. The most common pathologies in shocked patients are identified promptly using two-dimensional (2D) and M-mode echocardiography. A more comprehensive assessment can follow after patients have been stabilized. There are four types of shock: (i) cardiogenic shock, (ii) hypovolemic shock, (iii) obstructive shock, and (iv) septic shock. All of them can be readily identified by echocardiography. As echocardiography is increasingly being used in an intensive care setting, its applications and evidence base should be expanded by randomized controlled trials to demonstrate patient outcomes in critical care.
Citation
Mohsin M, Farooq MU, Akhtar W, Mustafa W, Rehman TU, Malik J, Zahid T. Echocardiography in a critical care unit: a contemporary review. Expert Rev Cardiovasc Ther. 2022 Jan;20(1):55-63. doi: 10.1080/14779072.2022.2036124. Epub 2022 Feb 2.
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Article