TY  - BOOK
AU  - Hockstein, Maxwell
AU  - Spiegel, Rory
TI  - Multi-organ Evaluation of Perfusion and Congestion Using Ultrasound in Patients with Shock
SN  - 2048-8726
PY  - 2023///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Washington Hospital Center
KW  - Emergency Medicine
KW  - Journal Article
N2  - 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: journals.permissions@oup.com
UR  - https://dx.doi.org/10.1093/ehjacc/zuad025
ER  -