Transthoracic echocardiography for cardiopulmonary monitoring in intensive care

Jensen, Mads Christian; Sloth, Erik; Larsen, K. Kyllesbech; Schmidt, Michael

doi:10.1097/00003643-200409000-00006

Cited by 321 publications

(189 citation statements)

References 21 publications

Supporting

Mentioning

162

Contrasting

Unclassified

Order By: Relevance

“…Verschiedene echokardiographische Konzepte wie FEEL (fokussierte Echokardiographische Evaluation bei Life Support; [1]), FATE (Focus Assessed Transthoracic Echocardiography; [2]), RUSH (Rapid Ultrasound for Shock and Hypotension; [3]) oder FOCUS (Focused Cardiac Ultrasound; [4]) wurden in den letzten Jahren entwickelt und definiert. Diese wurden in einer internationalen Kooperation verschiedener in der Notfallmedizin engagierter Fachgesellschaften in evidenzbasierten Positionspapieren und Empfehlungen integriert [4].…”

Section: Evidenz Für Eine Fokussierte Echokardiogaphiegood and Easyunclassified

Fokussierte Notfallechokardiographie

Schmidt¹

2015

Notfall Rettungsmed

View full text Add to dashboard Cite

Die Durchführung einer komplexenEchokardiographie erfordert eine fundierte, kardiologisch-fachspezifische Ausbildung. Die dafür nö-tige Personalressource (Anwesenheit eines ausgebildeten Kollegen der Kardiologie) ist in Notaufnahmen über 24 h meist nicht gegeben. Die Notfall-oder Point-of-care-Sonographie hat sich in den letzten Jahren v. a. dank der Entwicklung qualitativ hochwertiger Kompaktgeräte bei der Evaluation kritisch kranker Patienten etabliert. Die fokussierte Notfallechokardiographie zeigt sich als leicht erlernbares und auf wenige Aussagen begrenztes "Diagnostik-Tool" für die Praxis sehr hilfreich. Dem in der Notfallversorgung tätigen Arzt wird es durch sein "Ultraschall-Stethoskop" ermöglicht, schnell diagnostisch zielführende Informationen über den Krankheitszustand eines Patienten zu erhalten.

show abstract

Section: Evidenz Für Eine Fokussierte Echokardiogaphiegood and Easyunclassified

Fokussierte Notfallechokardiographie

Schmidt¹

2015

Notfall Rettungsmed

View full text Add to dashboard Cite

show abstract

“…In der Notaufnahme ist seit Jahren die schnell durchzuführende standardisier te Ultraschalluntersuchung "focused as sessement with sonography for trauma" ( [34,49,64,83]. Eine fokussierte visuelle Abschätzung des Her zens lässt sich in die Reanimationssitua tion einordnen, um therapierbare Ursa chen bei bestehender pulsloser elektri scher Aktivität abzuschätzen und so die letzte Möglichkeit zur Stabilisierung des Patienten zu evaluieren (s. .…”

Section: Fokussierte Untersuchungstechniken In Notsituationenunclassified

“…Der Nutzen der Sonographie wurde in einer Vielzahl von Untersuchungen wie z. B. für die Echokardiographie gezeigt [15,34,77].…”

unclassified

In welcher Weise sollte ein Anästhesist sonographieren können?

Maecken

Zinke²,

Zenz³

et al. 2011

Anaesthesist

View full text Add to dashboard Cite

Ultrasound imaging has attained great significance as a tool for diagnostics in emergency and intensive care medicine. The major advantages of this technique are its instantaneous bedside availability and the possibility to perform repeatable examinations. These advantages are based on recent developments, such as portable ultrasound devices offering excellent imaging quality as well as a quick-start-function. Ultrasound imaging in critically ill patients is frequently performed under pressure of time depending on the current acute physical state. All standard examinations in echocardiography, vascular, abdominal and thoracic ultrasound scanning can be applied in these patients. Based on the clinical scenario the duration of examinations may vary from seconds during cardiopulmonary resuscitations to time-consuming repeated scanning. The transition from basic to subject-specific detailed examinations is flowing and has to be adjusted to local conditions. In the field of emergency and intensive care medicine the technique used is whole-body sonography. The goal is to classify the patient's present physical state and to define a targeted therapeutic approach. The characteristics of whole-body sonography are similar to the field of anesthesiology which is an interdisciplinary one. Currently, these characteristics deserve more attention in training in sonography.

show abstract

Section: Introductionmentioning

confidence: 99%

“…The integration of focused US with clinical signs improves diagnostic accuracy and provides crucial information to guide the diagnosis, the therapy and to improve the field triage, in order to deliver the patients to the most appropriate destination [7,8].Many out-of-hospital algorithms have been successfully tested by providers [9], including the focused assessment of sonography for trauma (FAST) and the Extended-FAST [9,10], the focused echocardiography in life support (FEEL) protocol during cardiopulmonary resuscitation (CPR) [11], the lung ultrasound (LUS) for the evaluation of respiratory insufficiency [2,12] and the rapid ultrasound for shock and hypotension (RUSH) protocol for hemodynamic instability [13]. The study of the abdominal aorta in a patient with abdominal pain and hemodynamic instability could be another important indication of pre-hospital US [2,14].…”

mentioning

confidence: 99%

Early identification of aortic dissection with pre-hospital ultrasound: a case report

Zanatta¹,

Scorpiniti²,

Cianci³

2018

EJMCR

View full text Add to dashboard Cite

BackgroundPoint of care ultrasound (POCUS) is considered an important diagnostic tool in the Emergency Department.Current developments in technology, the presence of portable ultrasound (US) machines, the improvement of the quality and resolution of the images, have increased the performance of US also in the pre-hospital setting [1,2].Several studies have demonstrated the feasibility and accuracy of pre-hospital US, performed either by physicians or paramedics, in many pre-hospital scenarios including land ambulances and helicopters of the Emergency Medical Services [3][4][5][6].Pre-hospital emergency US should be even more focused, rapid, and problem based than in-hospital point of care US, to reduce morbidity and improve outcomes for patients with life-threatening conditions. The integration of focused US with clinical signs improves diagnostic accuracy and provides crucial information to guide the diagnosis, the therapy and to improve the field triage, in order to deliver the patients to the most appropriate destination [7,8].Many out-of-hospital algorithms have been successfully tested by providers [9], including the focused assessment of sonography for trauma (FAST) and the Extended-FAST [9,10], the focused echocardiography in life support (FEEL) protocol during cardiopulmonary resuscitation (CPR) [11], the lung ultrasound (LUS) for the evaluation of respiratory insufficiency [2,12] and the rapid ultrasound for shock and hypotension (RUSH) protocol for hemodynamic instability [13]. The study of the abdominal aorta in a patient with abdominal pain and hemodynamic instability could be another important indication of pre-hospital US [2,14].The evaluation of the aorta is fast, and the dilation of the artery can be easily identified. On the contrary, the diagnosis of a dissection or of a broken aneurysm could be challenging and predicted only by the presence of indirect signs, such as a dilated aorta or the evidence of free fluid in the peritoneum. Nevertheless, when US is closely related to the patient's history and the clinical assessment, diagnostic accuracy can be extremely high [12][13][14][15].This case report analyses the feasibility and usefulness of pre-hospital US for the evaluation of the aorta in a hemodynamically unstable patient. Case PresentationWe present a case of a 50-year-old man who suddenly lost consciousness while he was working. He remained unconscious for a few minutes and then recovered slowly. Early identification of aortic dissection with pre-hospital ultrasound: a case report ABSTRACTBackground: Several studies have demonstrated the feasibility of pre-hospital ultrasound (US) in patients with trauma, cardiac arrest, and respiratory insufficiency. It should be rapid, problem based and the use of specific protocols (focused assessment of sonography for trauma, focused echocardiography in life support, and rapid ultrasound for shock and hypotension) prevents delays.

show abstract

Transthoracic echocardiography for cardiopulmonary monitoring in intensive care

Cited by 321 publications

References 21 publications

Fokussierte Notfallechokardiographie

Fokussierte Notfallechokardiographie

In welcher Weise sollte ein Anästhesist sonographieren können?

Early identification of aortic dissection with pre-hospital ultrasound: a case report

Contact Info

Product

Resources

About