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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Autores principales: 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
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/12e35f8cc8104531b4560d558c7ead3f
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic cardiogenic shock weaning
echocardiography
lung ultrasound
diaphragm
ECMO
Impella
Medicine
R
spellingShingle 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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