Intensive Care Unit, Section Thorax-Vascular Diseases-Abdomen-Metabolism, Hôpital Ambroise Paré, AP-HP, University Hospital Ambroise Paré, 9 Avenue Charles de Gaulle, Boulogne Billancourt 92104, France; Faculté de Médecine Paris Ile de France Ouest, Université de Versailles Saint Quentin en Yvelines, Versailles 78000, France.
Intensive Care Unit, Section Thorax-Vascular Diseases-Abdomen-Metabolism, Hôpital Ambroise Paré, AP-HP, University Hospital Ambroise Paré, 9 Avenue Charles de Gaulle, Boulogne Billancourt 92104, France; Faculté de Médecine Paris Ile de France Ouest, Université de Versailles Saint Quentin en Yvelines, Versailles 78000, France; INSERM U-1018, CESP, Team 5 (EpReC, Renal and Cardiovascular Epidemiology), UVSQ, Villejuif 94807, France.
Clin Chest Med. 2016 Jun;37(2):299-307. doi: 10.1016/j.ccm.2016.01.005. Epub 2016 Mar 3.
Echocardiography is a noninvasive and accurate tool used in the intensive care unit to assess cardiac function and monitor hemodynamics in shocked patients. During severe sepsis or septic shock, several mechanisms can lead to hemodynamic failure and have to be quickly and precisely diagnosed to propose adequate, personalized, and timely hemodynamic therapy. Echocardiography truly provides intensivists with this diagnostic possibility, whether or not there is fluid responsiveness, cardiac dysfunction, or persistent vasoplegia. Acquiring skills in critical care echocardiography is mandatory in improving management and monitoring of patients with sepsis at the bedside. How critical care echocardiography in managing patients with septic shock improves prognosis remains to be elucidated.
超声心动图是重症监护病房中用于评估心功能和监测休克患者血流动力学的一种非侵入性且准确的工具。在严重脓毒症或感染性休克期间，多种机制可导致血流动力学衰竭，必须快速且精确地诊断以提出适当的、个性化的和及时的血流动力学治疗。超声心动图确实为重症监护医师提供了这种诊断可能性，无论是否存在液体反应性、心功能障碍或持续的血管麻痹。掌握重症监护超声心动图技能对于改善脓毒症患者的床边管理和监测至关重要。重症监护超声心动图在改善感染性休克患者预后方面的作用仍有待阐明。
