St. Luke's Medical Center, Aurora Critical Care Service, Milwaukee, WI.
St. Luke's Medical Center, Aurora Critical Care Service, Milwaukee, WI.
Semin Ultrasound CT MR. 2024 Feb;45(1):58-73. doi: 10.1053/j.sult.2023.12.007. Epub 2023 Dec 12.
In this review we explore Left Ventricular and Right Ventricular parameters that intensivists can use to evaluate, manage, and monitor the critically ill. Understanding these parameters, their clinical relevance, and potential pitfalls, is crucial for thorough and accurate patient assessment and management. Critical Care Echocardiography encompasses all the advanced cardiac and non-cardiac skillset needed to integrate the findings of Left Ventricular and Right Ventricular size and function. We advocate for a physiologic approach to the critically ill patient, tailoring therapy to reverse the etiology while simultaneously supporting circulation based on a sound understanding of left and right ventricular pressures, volumes, and flow.
在这篇综述中,我们探讨了重症监护医生可以用来评估、管理和监测危重症患者的左心室和右心室参数。了解这些参数、它们的临床相关性以及潜在的陷阱,对于全面、准确地评估和管理患者至关重要。重症超声心动图涵盖了所有需要整合左心室和右心室大小和功能发现的高级心脏和非心脏技能,以一种生理性的方式来治疗重症患者,根据对左右心室压力、容量和流量的充分理解,针对病因进行治疗,同时支持循环。