Skip to main content
Top
Published in: Intensive Care Medicine 7/2017

01-07-2017 | What's New in Intensive Care

Ten reasons for performing hemodynamic monitoring using transesophageal echocardiography

Authors: Philippe Vignon, Tobias M. Merz, Antoine Vieillard-Baron

Published in: Intensive Care Medicine | Issue 7/2017

Login to get access

Excerpt

Echocardiography is increasingly used in the intensive care unit (ICU) as a diagnostic imaging modality and for discontinuous hemodynamic monitoring [1]. A recent large American data-based study reported that echocardiography may have a prognostic impact in different clinical fields, such as sepsis [2]. Critical care echocardiography mainly relies on surface examination, whereas transesophageal echocardiography (TEE) is markedly less frequently performed in most ICUs [3]. Nevertheless, TEE shares most of the key properties defining an “ideal” hemodynamic monitoring system [4]. We herein describe 10 good reasons for using TEE to monitor hemodynamics in unstable ventilated patients. …
Appendix
Available only for authorised users
Literature
1.
go back to reference Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C, Jaeschke R, Mebazaa A, Pinsky MR, Teboul JL, Vincent JL, Rhodes A (2014) Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 40:1795–1815CrossRefPubMedPubMedCentral Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C, Jaeschke R, Mebazaa A, Pinsky MR, Teboul JL, Vincent JL, Rhodes A (2014) Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 40:1795–1815CrossRefPubMedPubMedCentral
2.
go back to reference Papolos A, Narula J, Bavishi C, Chaudhry FA, Sengupta PP (2016) US hospital use of echocardiography: insights from the Nationwide Inpatient Sample. J Am Coll Cardiol 67(5):502–511CrossRefPubMed Papolos A, Narula J, Bavishi C, Chaudhry FA, Sengupta PP (2016) US hospital use of echocardiography: insights from the Nationwide Inpatient Sample. J Am Coll Cardiol 67(5):502–511CrossRefPubMed
3.
go back to reference Zieleskiewicz L, Muller L, Lakhal K, Meresse Z, Arbelot C, Bertrand PM, Bouhemad B, Cholley B, Demory D, Duperret S, Duranteau J, Guervilly C, Hammad E, Ichai C, Jaber S, Langeron O, Lefrant JY, Mahjoub Y, Maury E, Meaudre E, Michel F, Muller M, Nafati C, Perbet S, Quintard H, Riu B, Vigne C, Chaumoitre K, Antonini F, Allaouchiche B, Martin C, Constantin JM, De Backer D, Leone M, CAR’Echo and AzuRea Collaborative Networks (2015) Point-of-care ultrasound in intensive care units: assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med 41(9):1638–1647CrossRefPubMed Zieleskiewicz L, Muller L, Lakhal K, Meresse Z, Arbelot C, Bertrand PM, Bouhemad B, Cholley B, Demory D, Duperret S, Duranteau J, Guervilly C, Hammad E, Ichai C, Jaber S, Langeron O, Lefrant JY, Mahjoub Y, Maury E, Meaudre E, Michel F, Muller M, Nafati C, Perbet S, Quintard H, Riu B, Vigne C, Chaumoitre K, Antonini F, Allaouchiche B, Martin C, Constantin JM, De Backer D, Leone M, CAR’Echo and AzuRea Collaborative Networks (2015) Point-of-care ultrasound in intensive care units: assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med 41(9):1638–1647CrossRefPubMed
4.
go back to reference Vincent JL, Rhodes A, Perel A, Martin GS, Della Rocca G, Vallet B, Pinsky MR, Hofer CK, Teboul JL, de Boode WP, Scolletta S, Vieillard-Baron A, De Backer D, Walley KR, Maggiorini M, Singer M (2011) Clinical review: update on hemodynamic monitoring: a consensus of 16. Crit Care 15(4):229CrossRefPubMedPubMedCentral Vincent JL, Rhodes A, Perel A, Martin GS, Della Rocca G, Vallet B, Pinsky MR, Hofer CK, Teboul JL, de Boode WP, Scolletta S, Vieillard-Baron A, De Backer D, Walley KR, Maggiorini M, Singer M (2011) Clinical review: update on hemodynamic monitoring: a consensus of 16. Crit Care 15(4):229CrossRefPubMedPubMedCentral
5.
go back to reference Vignon P, Mentec H, Terré S, Gastinne H, Guéret P, Lemaire F (1994) Diagnostic accuracy and therapeutic impact of transthoracic and transesophageal echocardiography in mechanically ventilated patients in the ICU. Chest 106(6):1829–1834CrossRefPubMed Vignon P, Mentec H, Terré S, Gastinne H, Guéret P, Lemaire F (1994) Diagnostic accuracy and therapeutic impact of transthoracic and transesophageal echocardiography in mechanically ventilated patients in the ICU. Chest 106(6):1829–1834CrossRefPubMed
6.
go back to reference Aneman A, Vieillard-Baron A (2016) Cardiac dysfunction in sepsis. Intensive Care Med 42(12):2073–2076CrossRefPubMed Aneman A, Vieillard-Baron A (2016) Cardiac dysfunction in sepsis. Intensive Care Med 42(12):2073–2076CrossRefPubMed
7.
go back to reference Vignon P, Repessé X, Bégot E, Léger J, Jacob C, Bouferrache K, Slama M, Prat G, Vieillard-Baron A (2016) Comparison of echocardiographic indices used to predict fluid responsiveness in ventilated patients. Am J Respir Crit Care Med. doi:10.1164/rccm.201604-0844OC Vignon P, Repessé X, Bégot E, Léger J, Jacob C, Bouferrache K, Slama M, Prat G, Vieillard-Baron A (2016) Comparison of echocardiographic indices used to predict fluid responsiveness in ventilated patients. Am J Respir Crit Care Med. doi:10.​1164/​rccm.​201604-0844OC
8.
go back to reference Bouferrache K, Amiel JB, Chimot L, Caille V, Charron C, Vignon P, Vieillard-Baron A (2012) Initial resuscitation guided by the Surviving Sepsis Campaign recommendations and early echocardiographic assessment of hemodynamics in intensive care unit septic patients: a pilot study. Crit Care Med 40(10):2821–2827CrossRefPubMed Bouferrache K, Amiel JB, Chimot L, Caille V, Charron C, Vignon P, Vieillard-Baron A (2012) Initial resuscitation guided by the Surviving Sepsis Campaign recommendations and early echocardiographic assessment of hemodynamics in intensive care unit septic patients: a pilot study. Crit Care Med 40(10):2821–2827CrossRefPubMed
9.
go back to reference Mebazaa A, Tolppanen H, Mueller C, Lassus J, DiSomma S, Baksyte G, Cecconi M, Choi DJ, Cohen Solal A, Christ M, Masip J, Arrigo M, Nouira S, Ojji D, Peacock F, Richards M, Sato N, Sliwa K, Spinar J, Thiele H, Yilmaz MB, Januzzi J (2016) Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance. Intensive Care Med 42(2):147–163CrossRefPubMed Mebazaa A, Tolppanen H, Mueller C, Lassus J, DiSomma S, Baksyte G, Cecconi M, Choi DJ, Cohen Solal A, Christ M, Masip J, Arrigo M, Nouira S, Ojji D, Peacock F, Richards M, Sato N, Sliwa K, Spinar J, Thiele H, Yilmaz MB, Januzzi J (2016) Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance. Intensive Care Med 42(2):147–163CrossRefPubMed
10.
go back to reference Riu-Poulenc B, Begot E, Mari A, Clavel M, Chimot L, Delour P, Vargas F, Filloux B, Vandroux D, Jabot J, Silva S, Genestal M, François B, Pichon N, Vignon P (2014) Agreement of therapeutic proposals derived from early hemodynamic assessment using transpulmonary thermodilution and transesophageal echocardiography in septic shock patients. Intensive Care Med 40(Suppl 1):S209 Riu-Poulenc B, Begot E, Mari A, Clavel M, Chimot L, Delour P, Vargas F, Filloux B, Vandroux D, Jabot J, Silva S, Genestal M, François B, Pichon N, Vignon P (2014) Agreement of therapeutic proposals derived from early hemodynamic assessment using transpulmonary thermodilution and transesophageal echocardiography in septic shock patients. Intensive Care Med 40(Suppl 1):S209
11.
go back to reference Vieillard-Baron A, Matthay M, Teboul JL, Bein T, Schultz M, Magder S, Marini JJ (2016) Experts’ opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation. Intensive Care Med 42(5):739–749CrossRefPubMed Vieillard-Baron A, Matthay M, Teboul JL, Bein T, Schultz M, Magder S, Marini JJ (2016) Experts’ opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation. Intensive Care Med 42(5):739–749CrossRefPubMed
12.
go back to reference Mekontso Dessap A, Boissier F, Charron C, Bégot E, Repessé X, Legras A, Brun-Buisson C, Vignon P, Vieillard-Baron A (2016) Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med 42(5):862–870CrossRefPubMed Mekontso Dessap A, Boissier F, Charron C, Bégot E, Repessé X, Legras A, Brun-Buisson C, Vignon P, Vieillard-Baron A (2016) Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med 42(5):862–870CrossRefPubMed
13.
go back to reference Expert Round Table on Echocardiography in ICU (2014) International consensus statement on training standards for advanced critical care echocardiography. Intensive Care Med 40(5):654–666CrossRef Expert Round Table on Echocardiography in ICU (2014) International consensus statement on training standards for advanced critical care echocardiography. Intensive Care Med 40(5):654–666CrossRef
14.
go back to reference Begot E, Dalmay F, Etchecopar C, Clavel M, Pichon N, Francois B, Lang R, Vignon P (2015) Hemodynamic assessment of ventilated ICU patients with cardiorespiratory failure using a miniaturized multiplane transesophageal echocardiography probe. Intensive Care Med 41(11):1886–1894CrossRefPubMed Begot E, Dalmay F, Etchecopar C, Clavel M, Pichon N, Francois B, Lang R, Vignon P (2015) Hemodynamic assessment of ventilated ICU patients with cardiorespiratory failure using a miniaturized multiplane transesophageal echocardiography probe. Intensive Care Med 41(11):1886–1894CrossRefPubMed
15.
go back to reference Vieillard-Baron A, Slama M, Mayo P, Charron C, Amiel JB, Esterez C, Leleu F, Repesse X, Vignon P (2013) A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe. Intensive Care Med 39(4):629–635CrossRefPubMed Vieillard-Baron A, Slama M, Mayo P, Charron C, Amiel JB, Esterez C, Leleu F, Repesse X, Vignon P (2013) A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe. Intensive Care Med 39(4):629–635CrossRefPubMed
Metadata
Title
Ten reasons for performing hemodynamic monitoring using transesophageal echocardiography
Authors
Philippe Vignon
Tobias M. Merz
Antoine Vieillard-Baron
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 7/2017
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-017-4716-1

Other articles of this Issue 7/2017

Intensive Care Medicine 7/2017 Go to the issue