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Stroke Volume Determination by Echocardiography
DOI:10.1016/j.chest.2022.01.022.png)
摘要
En 中文
Basic critical care echocardiography emphasizes two-dimensional (2D) findings, such as ventricular function, inferior vena cava size, and pericardial assessment, while generally excluding quantitative findings and Doppler-based techniques. Although this approach offers advantages, including efficiency and expedited training, it complicates attempts to understand the hemodynamic importance of any 2D abnormalities detected. Stroke volume (SV), as the summative event of the cardiac cycle, is the most pragmatic available indicator through which a clinician can rapidly determine, no matter the 2D findings, whether aberrant cardiac physiology is contributing to the state of shock. An estimate of SV allows 2D findings to be placed into better context in terms of both hemodynamic significance and acuity. This article describes the technique of SV determination, reviews common confounding factors and pitfalls, and suggests a systematic approach for using SV measurements to help integrate important 2D findings into the clinical context.
Keyword:
critical care echocardiography
left ventricular outflow tract
pulsed-wave Doppler
stroke volume
ultrasound
velocity-time integral
期刊
IF:
8.6
论文数:
4.9W
被引数:
5.1W
机构
引用论文
Guidelines for the Use of Echocardiography as a Monitor for Therapeutic Intervention in Adults: A Report from the American Society of Echocardiography超声心动图作为成人治疗干预监测的使用指南: 来自美国超声心动图学会的报告
International consensus statement on training standards for advanced critical care echocardiography
INTENSIVE CARE MEDICINE
IF21.2

