Multi-organ Evaluation of Perfusion and Congestion Using Ultrasound in Patients with Shock.

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Citation: European Heart Journal: Acute Cardiovascular Care. 2023 Mar 16PMID: 36928914Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2023ISSN:
  • 2048-8726
Name of journal: European heart journal. Acute cardiovascular careAbstract: There is increasing evidence on the role of ultrasound in the evaluation of multi-organ hypoperfusion and congestion in patients with cardiocirculatory shock both to identify the underlying pathophysiological mechanism, to drive and monitor the treatment. The cardiac and lung ultrasound are included as integrated multiparametric approach to the very early phase of patients with hemodynamic instability/ cardiogenic shock. Splanchnic ultrasound has been mainly applied in heart failure and predominant circulatory failure. Although poorly validated in the critically ill, many ultrasound parameters have a strong physiological background to support their use in the acute setting either those that apply for heart/lung and for splanchnic organ evaluation. This review summarizes the ultrasonographic parameters that have shown evidence in literature in the diagnostic/therapeutic pathway to define the congestion/perfusion profile of the organs that are involved in the pathophysiological cascade of cardiocirculatory shock. Copyright © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: [email protected].All authors: Tavazzi G, Spiegel R, Rola P, Price S, Corradi F, Hockstein MFiscal year: FY2023Digital Object Identifier: Date added to catalog: 2023-04-11
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There is increasing evidence on the role of ultrasound in the evaluation of multi-organ hypoperfusion and congestion in patients with cardiocirculatory shock both to identify the underlying pathophysiological mechanism, to drive and monitor the treatment. The cardiac and lung ultrasound are included as integrated multiparametric approach to the very early phase of patients with hemodynamic instability/ cardiogenic shock. Splanchnic ultrasound has been mainly applied in heart failure and predominant circulatory failure. Although poorly validated in the critically ill, many ultrasound parameters have a strong physiological background to support their use in the acute setting either those that apply for heart/lung and for splanchnic organ evaluation. This review summarizes the ultrasonographic parameters that have shown evidence in literature in the diagnostic/therapeutic pathway to define the congestion/perfusion profile of the organs that are involved in the pathophysiological cascade of cardiocirculatory shock. Copyright © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: [email protected].

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