Once is enough: Limited echocardiography in subacute shock

In keeping with standard practice for shock, all patients had received at least 20 mL/kg intravenous fluids and continued to require vasopressors at the time of the intervention. Because of the rapid time-line associated with resuscitation, we chose a single limited echocardiogram to influence clini...

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Bibliographic Details
Published inJournal of critical care Vol. 30; no. 2; pp. 431 - 432
Main Authors Kanji, Hussein D., MD, MSc, MPH, Sirounis, Demetrios, MD, Boyd, John H., MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2015
Elsevier Limited
Subjects
Cardiotonic Agents - administration & dosage
Critical Care
Dobutamine - administration & dosage
Echocardiography, Doppler, Color - methods
Female
Fluid Therapy - methods
Fluids
Humans
Male
Medical treatment
Shock - therapy
Ultrasonography, Interventional - methods
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Summary:In keeping with standard practice for shock, all patients had received at least 20 mL/kg intravenous fluids and continued to require vasopressors at the time of the intervention. Because of the rapid time-line associated with resuscitation, we chose a single limited echocardiogram to influence clinical decision making rather than repeated measures. [...]it is apparent that a single limited echocardiogram performed to guide fluid therapy following the initial (12-24 hours) acute resuscitation should provide the greatest impact, with diminishing yield beyond this stage.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ObjectType-Article-3
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2014.12.011