• J Crit Illn · May 1992

    Getting best results from echocardiography in emergency situations. Indications include shock, infarction, heart failure, trauma, tamponade.

    • P R Liebson and T H Karson.
    • Rush-Presbyterian-St. Luke's Medical Center, Chicago.
    • J Crit Illn. 1992 May 1; 7 (5): 698-710.

    AbstractIn the ICU, both transthoracic and transesophageal echocardiography can assist in the acute management of a number of different disorders. In hypotensive patients, echocardiography helps distinguish between cardiogenic shock (resulting from acute myocardial infarction), septic shock, and circulatory shock (associated with a reduction in circulating blood volume); it can also help determine whether pericardial effusion or obstruction to valvular flow is producing the hypotension and suggesting pulmonary embolus. Other roles for echocardiography include differentiating left- and right-sided heart failure, assessing the extent of pericardial disease, diagnosing disorders of the thoracic aorta, and evaluating traumatic heart disease.

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