Applications of critical ultrasonography in hemodynamic therapy

• Published in: Chinese medical journal Vol. 134; no. 11; pp. 1286 - 1288
• Main Authors: Huang, Wei, Liu, Da-Wei, Wang, Xiao-Ting
• Format: Journal Article
• Language: English
• Published: China Lippincott Williams & Wilkins 05.06.2021; Lippincott Williams & Wilkins Ovid Technologies; Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China; Wolters Kluwer
• Subjects: Abdomen; Blood clots; Cardiomyopathy; COVID-19; Critical Care; Extracorporeal membrane oxygenation; Heart; Hemodynamics; Humans; Hypotension; Ideas and Opinion; Intracranial pressure; Lungs; Ultrasonic imaging; Ultrasonography; Weaning
• ISSN: 0366-6999; 2542-5641; 2542-5641
• DOI: 10.1097/CM9.0000000000001391

Furthermore, patients have a larger increase in stroke volume and smaller augmentation in lung water when their heart is functioning on the ascending part of the Starling curve than when their heart is functioning near the top of the curve. [...]CUS enables visualization of hemodynamic theory. Furthermore, lung ultrasound can be used to evaluate the efficacy of prone positioning and recruitment maneuvers, enable dynamic monitoring, and guide application of these two procedures. [...]surveillance of right ventricular function during treatment is necessary, and comparing the changes on ultrasound before and after interventions to titrate the treatment is beneficial. A dilated ONSD decreases as intracranial pressure decreases,[7] indicating that ONSD may be a non-invasive tool for dynamically evaluating intracranial pressure. [...]transcranial Doppler and transcranial color Doppler are used to track cerebral blood flow, helping to evaluate cerebral vasospasm, congestion, and ischemia, and providing information about cerebral perfusion. [...]TEECC is more accurate than TTE in obtaining a diagnosis and allows for reproducible and sequential hemodynamic assessments.