Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from su...
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2021
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oai:doaj.org-article:12e35f8cc8104531b4560d558c7ead3f2021-11-11T17:43:47ZUltrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art10.3390/jcm102151082077-0383https://doaj.org/article/12e35f8cc8104531b4560d558c7ead3f2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5108https://doaj.org/toc/2077-0383Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from such support is challenging. Intensive care unit (ICU) bedside echocardiography provides noninvasive, immediate, and low-cost monitoring of hemodynamic parameters such as cardiac output, filling pressure, structural disease, congestion status, and device functioning. Supplemented by an ultrasound of the lung and diaphragm, it is able to provide valuable information about signs suggesting a weaning failure. The aim of this article was to review the state of the art taking into account current evidence and knowledge on ICU bedside ultrasound for the evaluation of weaning from mechanical ventilation and circulatory support in cardiogenic shock.Rebeca Muñoz-RodríguezMartín Jesús García-GonzálezPablo Jorge-PérezMarta M. Martín-CabezaMaria Manuela Izquierdo-GómezBelén Marí-LópezMaría Amelia Duque-GonzálezAntonio Barragán-AceaJuan Lacalzada-AlmeidaMDPI AGarticlecardiogenic shock weaningechocardiographylung ultrasounddiaphragmECMOImpellaMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5108, p 5108 (2021) |
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cardiogenic shock weaning echocardiography lung ultrasound diaphragm ECMO Impella Medicine R |
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cardiogenic shock weaning echocardiography lung ultrasound diaphragm ECMO Impella Medicine R Rebeca Muñoz-Rodríguez Martín Jesús García-González Pablo Jorge-Pérez Marta M. Martín-Cabeza Maria Manuela Izquierdo-Gómez Belén Marí-López María Amelia Duque-González Antonio Barragán-Acea Juan Lacalzada-Almeida Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art |
description |
Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from such support is challenging. Intensive care unit (ICU) bedside echocardiography provides noninvasive, immediate, and low-cost monitoring of hemodynamic parameters such as cardiac output, filling pressure, structural disease, congestion status, and device functioning. Supplemented by an ultrasound of the lung and diaphragm, it is able to provide valuable information about signs suggesting a weaning failure. The aim of this article was to review the state of the art taking into account current evidence and knowledge on ICU bedside ultrasound for the evaluation of weaning from mechanical ventilation and circulatory support in cardiogenic shock. |
format |
article |
author |
Rebeca Muñoz-Rodríguez Martín Jesús García-González Pablo Jorge-Pérez Marta M. Martín-Cabeza Maria Manuela Izquierdo-Gómez Belén Marí-López María Amelia Duque-González Antonio Barragán-Acea Juan Lacalzada-Almeida |
author_facet |
Rebeca Muñoz-Rodríguez Martín Jesús García-González Pablo Jorge-Pérez Marta M. Martín-Cabeza Maria Manuela Izquierdo-Gómez Belén Marí-López María Amelia Duque-González Antonio Barragán-Acea Juan Lacalzada-Almeida |
author_sort |
Rebeca Muñoz-Rodríguez |
title |
Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art |
title_short |
Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art |
title_full |
Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art |
title_fullStr |
Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art |
title_full_unstemmed |
Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art |
title_sort |
ultrasound assessment in cardiogenic shock weaning: a review of the state of the art |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/12e35f8cc8104531b4560d558c7ead3f |
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