By: Vieillard-Baron, A., Millington, S.J., Sanfillipo, F.
et al.
Intensive Care Med
(04/2019). P1-19 – first online: 25th March 2019
Introduction
This
narrative review focusing on critical care echocardiography (CCE) has been
written by a group of experts in the field, with the aim of outlining the state
of the art in CCE in the 10 years after its official recognition and
definition.
Results
In
the last 10 years, CCE has become an essential branch of critical care
ultrasonography and has gained general acceptance. Its use, both as a
diagnostic tool and for hemodynamic monitoring, has increased markedly,
influencing contemporary cardiorespiratory management. Recent studies suggest
that the use of CCE may have a positive impact on outcomes. CCE may be used in
critically ill patients in many different clinical situations, both in their
early evaluation of in the emergency department and during intensive care unit
(ICU) admission and stay. CCE has also proven its utility in perioperative
settings, as well as in the management of mechanical circulatory support. CCE
may be performed with very simple diagnostic objectives. This application,
referred to as basic CCE, does not require a high level of training. Advanced
CCE, on the other hand, uses ultrasonography for full evaluation of cardiac
function and hemodynamics, and requires extensive training, with formal
certification now available. Indeed, recent years have seen the creation of
worldwide certification in advanced CCE. While transthoracic CCE remains the
most commonly used method, the transesophageal route has gained importance,
particularly for intubated and ventilated patients.
Conclusion
CCE
is now widely accepted by the critical care community as a valuable tool in the
ICU and emergency department, and in perioperative settings.
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