1 Critical Care Department, Alexandria University, Alexandria, Egypt.
2 General ICU, Broomfield Hospital, Mid Essex NHS Trust, Broomfield, Chelmsford, United Kingdom.
J Intensive Care Med. 2018 Aug;33(8):439-446. doi: 10.1177/0885066617734151. Epub 2017 Oct 3.
Echodynamics refers to the use of echocardiography as hemodynamic tool mostly in intensive and acute care settings. It implies a smooth drift from the classic cardiology use to a more critical care adjusted use. A more personalized approach is advocated in critical care, and echo is one way to reach such goal. Correct application necessitates optimum understanding, interpretation, and finally integration into patients' clinical management. As more critical care doctors are advancing from basic focused echo examinations to a more advanced one, this article is trying to underlie many pitfalls of critical care echocardiography in order to guide better practice.
超声心动动力学是指将超声心动图作为血液动力学工具,主要用于重症和急性护理环境。这意味着从经典心脏病学的应用平稳过渡到更适合重症监护调整的应用。在重症监护中提倡更个性化的方法,而超声心动图是实现这一目标的一种方式。正确的应用需要最佳的理解、解释,最终将其整合到患者的临床管理中。随着越来越多的重症监护医生从基本的重点超声检查发展到更高级的检查,本文试图阐述重症监护超声心动图的许多陷阱,以指导更好的实践。