The Role of Echocardiography in Hemodynamic Assessment of Septic Shock

Matthew J. Griffee, Matthias J. Merkel, Kevin S. Wei

Research output: Contribution to journalReview article

41 Scopus citations

Abstract

Echocardiography is a rapid, noninvasive, comprehensive cardiac assessment option for patients presenting with hemodynamic instability. In patients with septic shock, echocardiography can be used to guide fluid therapy by measuring collapsibility of the inferior vena cava. Sepsis-induced myocardial dysfunction can be diagnosed, and responses to therapy can be monitored with echo. Patients with persistent shock should be evaluated for right heart failure, dynamic left ventricular obstruction, or tamponade if they do not respond to resuscitation and norepinephrine. Unexpected or rare findings that affect management may be revealed using focused echocardiography. This article presents national and international competency statements regarding critical care echocardiography and training resources for intensivists.

Original languageEnglish (US)
Pages (from-to)365-382
Number of pages18
JournalCritical Care Clinics
Volume26
Issue number2
DOIs
StatePublished - Apr 1 2010

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Keywords

  • Cor pulmonale
  • Echocardiography
  • Fluid therapy
  • Resuscitation
  • Septic shock

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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