Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Shock. 2010 Sep;34 Suppl 1:59-62. doi: 10.1097/SHK.0b013e3181e7e8ed.
The use of echocardiography in the intensive care unit for patients in shock allows the accurate measurement of several hemodynamic variables in a noninvasive way. By using echocardiography as a hemodynamic monitoring tool, the clinician can evaluate several aspects of shock states, such as cardiac output and fluid responsiveness, myocardial contractility, intracavitary pressures, and biventricular interactions. However, to date, there have been few guidelines suggesting an objective hemodynamic-based examination in the intensive care unit, and most intensivists are usually not familiar with this tool. In this review, we describe some of the most important hemodynamic parameters that can be obtained at the bedside with transthoracic echocardiography.
在重症监护病房中，使用超声心动图可以无创地准确测量多个血流动力学变量。通过将超声心动图用作血流动力学监测工具，临床医生可以评估休克状态的多个方面，例如心输出量和液体反应性、心肌收缩力、心室内压和双心室相互作用。然而，迄今为止，很少有指南建议在重症监护病房进行基于客观血流动力学的检查，大多数重症监护医生通常不熟悉该工具。在这篇综述中，我们描述了一些可以通过经胸超声心动图在床边获得的最重要的血流动力学参数。
