Article Data

  • Views 1505
  • Dowloads 152

Review

Open Access

Assesment of hemodynamics by basic ultrasound

  • RADOVAN RADONIC1

1,Department of Internal Medicine Division of Intensive Care Medicine University Hospital Centre Zagreb

DOI: 10.22514/SV131.032017.4 Vol.13,Issue S1,May 2017 pp.27-31

Published: 08 May 2017

*Corresponding Author(s): RADOVAN RADONIC E-mail: rradonic@gmail.com

Abstract

Basic ultrasound can provide important information about the main parts of the circulatory system, the heart, and the main vessels. At the bedside, only by brief visual impression of the heart function and infe-rior vena cava diameter, and without any measurements, the attending physician can get important information which can influence the clinical opinion-making process and the management of the hemo-dynamically unstable patient. No less im-portant is to obtain information about the lungs, particularly to estimate if extravas-cular lung water is present in excess or not. Ultrasound can help in the detection of the potentially reversible causes of hemody-namic instability or arrest and can guide the treatment. Examples are pneumotho-rax, cardiac tamponade, thromboembo-lism, the detection of blood in the pleural, pericardial or abdominal space after trau-ma and the detection and treatment of the source of the infection.

Keywords

ultrasound, hemodynamic mon-itoring, shock   

Cite and Share

RADOVAN RADONIC. Assesment of hemodynamics by basic ultrasound. Signa Vitae. 2017. 13(S1);27-31.

References

1. Lichtenstein D, Axler O. Intensive use of general ultrasound in the intensive care unit: A prospective study of 150 consecutive pa-tients. Intensive Care Med 1993;19:353–5.

2. Lichtenstein D: General Ultrasound in the Critically Ill. Third Edition. New York, Springer-Verlag, 2005;1–200.

3. R. Radonić, M. Kvarantan, M. Merkler, M. Matlekovic, D Bosnic, D Ivanovic, V, et al. Usefulness of abdominal ultrasound in inten-sive care unit. 2nd International Symposium on Intensive Care Medicine, Bled September 21-23, 1993; Abstract book.

4. Merkler M, Radonić R, Kvarantan M, Ivanović D, Gašparović V, Gjurašin M. The role of ultrasound in the treatment of patients in emergency medical department and medical ICU. First Congress on Ultrasound Diagnostics, Crikvenica, May 1-3, 1994.

5. Via G, Hussain A, Wells M, Reardon R, ElBarbary M, Noble VE, et al; International Liaison Committee on Focused Cardiac Ultra-Sound (ILC-FoCUS); International Conference on Focused CardiacUltraSound (IC-FoCUS). International evidence-based recom-mendations for focused cardiac ultrasound. J Am Soc Echocardiogr. 2014;27(7):683.

6. D. A. Lichtenstein and G. A. Meziere, “Relevance of lung` ultrasound in the diagnosis of acute respiratory failure, the BLUE protocol,” Chest 2008; 134(1),117–125.

7. Niendorff DF, Rassias AJ, Palac R, Beach ML, Costa S, Greenberg M. Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation 2005;67(1):81-7.

8. Breitkreutz R, Walcher F, Seeger FH. Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med. 2007;35(5 Suppl):S150-61.

9. Simonson JS, Schiller NB. Sonospirometry: a new method for noninvasive estimation of mean right atrial pressure based on two-dimensional chographic measurements of the inferior vena cava during measured inspiration. J Am Coll Cardiol 1988; 11(3):557-64.

10. Cheriex EC, Leunissen KM, Jansses JH, Mooy JM, van Hoof JP. Echography of the inferior vena cava is a simple and reliable tool for estimation of ‘dry weight’ in haemodialysis patients. Nephrol Dial Transplant 1989;4(6):536-8.

11. Feissel M, Michard F, Faller JP, Teboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med 2004;30(9):1834-7.

12. Nagdev AD, Merchant RC, Torado-Gonzalez A, Sission CA, Murphy MC. Emergency department bedside ultrasonographic meas-urement of the caval index for noninvasive determination of low central venous pressure. Ann Emerg Med 2010;55(3):290-5.

13. Zhang Z, Xu X, Ye S, Xu L. Ultrasonographic measurement of the respiratory variation in the inferior vena cava diameter is predic-tive of fluid responsiveness in critically ill patients: systematic review and meta-analysis. Ultrasound Med Biol 2014;40(5):845-53.

14. Lichtenstein D. Ultrasound diagnosis of pulmonary edema. Rev Im Med 1994; 6:561–2.

15. Lichtenstein D, Meziere G, Biderman P, Gepner A, Barre O: The comet-tail artifact. An ultrasound sign of alveolar-interstitial syn-drome. Am J Respir Crit Care Med 1997;156:1640-6.

16. Lichtenstein D, Meziere G: A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: the comet-tail artifact. Intensive Care Med 1998;24:1331-4.

17. Lichtenstein D: Lung ultrasound in the critically ill. In: Yearbook of Intensive Care and Emergency Medicine. Heidelberg, Springer, 2004;625–44.

18. Lichtenstein D, Goldstein I, Mourgeon E, et al: Comparative diagnostic performances of auscultation, chest radiography and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 2004;100:9–15.

19. Lichtenstein D, Lascols N, Mezière G, et al: Ultrasound diagnosis of alveolar consolidation in the critically ill. Intensive Care Med 2004;30:276–82.

20. Lichtenstein DA. Ultrasound in the management of thoracic disease. Crit Care Med. 2007;35(5. Suppl):S250-61.

21. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, et al; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based rec-ommendations for point-of-care lung ultrasound. Intensive Care Med. 2012;38(4):577-91.

22. Copetti R, Soldati G, Copetti P. Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute res-piratory distress syndrome. Cardiovasc Ultrasound 2008;6:16.

23. Via G, Lichtenstein D, Mojoli F, Rodi G, Neri L, Storti E, et al. Whole lung lavage: a unique model for ultrasound assessment of lung aeration changes. Intensive Care Med 2010;36:999–1007.

24. Yang PC, Luh KT, Chang DB, Yu CJ, Kuo SH, Wu HD. Ultrasonographic evaluation of pulmonary consolidation. Am Rev Respir Dis 1992;146:757-62.

25. Targhetta R, Chavagneaux R, Bourgeois JM, et al. Sonographic approach to diagnosing pulmonary consolidation. J Ultrasound Med 1992;11:667–72.

26. Weinberg B, Diakoumakis EE, Kass EG, Seife B, Zvi ZB. The air bronchogram: sonographic demonstration. Am J Roentgenol 1986;147:593-5.

27. Lichtenstein D, Meziere G, Seitz J. The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelec-tasis. Chest 2009;135:1421–5.

28. Lichtenstein D, Karakitsos D. “Integrating ultrasound in the hemodynamic evaluation of acute circulatory failure (FALLS-the fluid administration limited by lung sonography protocol),” Journal of Critical Care 2012;(5):27.

29. Lichtenstein DA, Menu Y. A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding. Chest 1995;108(5):1345-8.

30. Lichtenstein DA, Meziere G, Biderman P, Gepner A: The “lung point”: an ultrasound sign specific to pneumothorax. IntensiveCare Med 2000;26:1434-40.

31. Lichtenstein DA. How can the use of lung ultrasound in cardiac arrest make ultrasound a holistic discipline. The example of the SESAME-protocol. Med Ultrason 2014;16(3):252-5 .

32. Kristensen JK, Buemann B, Kuhl E. Ultrasonic scanning in the diagnosis of splenic haematomas. Acta Chir Scand 1971;137(7):653–7.

33. Jehle D, Guarina J, Karamanoukian H. Emergency department ultrasound in the evaluation of blunt trauma. Am J Emerg Med 1993;11(4):342-6.

34. Ma J, Mateer J, Ogata M, et al. Prospective analysis of a rapid trauma ultrasound examination performed by emergency physicians. J Trauma 1995;38:879-85.

35. Ingleman E, Plewa M, Okasinki R, et al. Emergency physician use of ultrasonography in blunt abdominal trauma. Acad Emerg Med. 1996;3:931-7  .

36. Bennett, MK, Jehle D. Ultrasonography in blunt abdominal trauma. Emerg Med Clin North Am. 1997;15(4):763-87.

37. Nordenholtz KE, Rubin MA, Gularte GG, et al. Ultrasound in the valuation and management of blunt abdominal trauma. Ann Emerg Med. 1997;29(3):357-66.

38. Boulanger BR, Kearney PA, Brenneman FD, Tsuei B, Ochoa J. Utilization of FAST (Focused Assessment with Sonography for Trau-ma) in 1999: results of a survey of North American trauma centers. Am Surg. 2000;66(11):1049–55 .

39. Tsui CL, Fung HT, Chung KL, Kam CW. Focused abdominal sonography for trauma in the emergency department for blunt abdomi-nal trauma. Int J Emerg Med. 2008;1(3):183–7.

40. Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, et al. International evidence-based recommenda-tions on ultrasound-guided vascular access. Intensive Care Med. 2012;38(7):1105-17.

41. Lichtenstein DA: Point-of-care ultrasound: Infection control in the intensive care unit. Crit Care Med 2007;35(5 Suppl):S 262-7.

42. Gandon Y, Mueller PR, Ferrucci JT Abscess and inta-abdominal fluid collections. Diagnosis and percutaneous drainage. J Radiol 1989;70(4):235-47.

43. M. Kvarantan, R. Radonić, M. Merkler, D. Ivanović, V. Gašparović, M. Gjurašin. Ultrasound guided interventions in medical inten-sive care unit. 2nd International Symposium on Intensive Care Medicine, Bled September 21-23,1993.

44. R. Radonić. Interventional ultrasound in the intensive care unit. In book: Selected topics in intensive care medicine, D. Bennet, V. Gašparović, Monduzzi editore, Bologna, Italy, 2009; 329-42.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top