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01-04-2020 | Ultrasound | What's New in Intensive Care

What’s new in ultrasound-based assessment of organ perfusion in the critically ill: expanding the bedside clinical monitoring window for hypoperfusion in shock

Authors: Francesco Corradi, Gabriele Via, Guido Tavazzi

Published in: Intensive Care Medicine | Issue 4/2020

Excerpt

Circulatory shock is defined as a disorder with evidence of both clinical and biochemical tissue hypoperfusion, entailing inadequate oxygen utilization by cells, with or without a systolic blood pressure below 95 mmHg [1]. Its hallmark are signs of hypoperfusion which reflect the global metabolic and circulatory consequences of oxygen transport/demand imbalance. …

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Darmon M, Schortgen F, Leon R, Moutereau S, Mayaux J, Di Marco F, Devaquet J, Brun-Buisson C, Brochard L (2009) Impact of mild hypoxemia on renal function and renal resistive index during mechanical ventilation. Intensive Care Med 35:1031–1038CrossRef

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Brusasco C, Tavazzi G, Robba C, Santori G, Vezzani A, Manca T, Corradi F (2018) Splenic Doppler resistive index variation mirrors cardiac responsiveness and systemic hemodynamics upon fluid challenge resuscitation in postoperative mechanically ventilated patients. Biomed Res Int 2018:1978968CrossRef

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Corradi F, Brusasco C, Garlaschi A, Santori G, Vezzani A, Moscatelli P, Pelosi P (2012) Splenic Doppler resistive index for early detection of occult hemorrhagic shock after polytrauma in adult patients. Shock 38:466–473CrossRef

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Robba C, Goffi A, Geeraerts T, Cardim D, Via G, Czosnyka M, Park S, Sarwal A, Padayachy L, Rasulo F, Citerio G (2019) Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review. Intensive care medicine 45:913–927CrossRef

Title: What’s new in ultrasound-based assessment of organ perfusion in the critically ill: expanding the bedside clinical monitoring window for hypoperfusion in shock
Authors: Francesco Corradi
Gabriele Via
Guido Tavazzi
Publication date: 01-04-2020
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Shock
Shock
Ultrasound
Published in: Intensive Care Medicine / Issue 4/2020
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-019-05791-y

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What’s new in ultrasound-based assessment of organ perfusion in the critically ill: expanding the bedside clinical monitoring window for hypoperfusion in shock

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