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Critical Care Cardiac Ultrasound: Which abbreviated exam & How to Train?

 

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Critical Care Cardiac Ultrasound: Which abbreviated exam & How to Train?
AAST Grand Round, July 2014

 

Presented by: Heidi Frankel, MD

Moderated by: Mark Newell, MD

Referenced in presentation:

Prospective evaluation of intravascular volume status in critically ill patients: does inferior vena cava collapsibility correlate with central venous pressure?
Stawicki SP, Adkins EJ, Eiferman DS, Evans DC, Ali NA, Njoku C, Lindsey DE, Cook CH, Balakrishnan JM, Valiaveedan S, Galwankar SC, Boulger CT, Springer AN, Bahner DP.
J Trauma Acute Care Surg. 2014 Apr;76(4):956-63; discussion 963-4.

 

Making the financial case for a surgeon-directed critical care ultrasound program.
Murthi SB, Frankel HL, Narayan M, Lissauer M, Furgusen M, Fatima SH, Scalea TM.
J Trauma Acute Care Surg. 2014 Feb;76(2):340-44; discussion 344-6.

 

Findings of a randomized controlled trial using limited transthoracic echocardiogram (LTTE) as a hemodynamic monitoring tool in the trauma bay.
Ferrada P, Evans D, Wolfe L, Anand RJ, Vanguri P, Mayglothling J, Whelan J, Malhotra A, Goldberg S, Duane T, Aboutanos M, Ivatury RR.
J Trauma Acute Care Surg. 2014 Jan;76(1):31-7; discussion 37-8.

 

Focused rapid echocardiographic evaluation versus vascular cather-based assessment of cardiac output and function in critically ill trauma patients.
Murthi SB, Hess JR, Hess A, Stansbury LG, Scalea TM.
J Trauma Acute Care Surg. 2012 May;72(5):1158-64.

 

Accuracy of cardiac function and volume status estimates using the bedside echocardiographic assessment in trauma/critical care.
Gunst M, Ghaemmaghami V, Sperry J, Robinson M, O'Keeffe T, Friese R, Frankel H.
J Trauma. 2008 Sep;65(3):509-16.

 

Further reading:

 

A, B, C, D, echo: limited transthoracic echocardiogram is a useful tool to guide therapy for hypotension in the trauma bay--a pilot study.
Ferrada P, Vanguri P, Anand RJ, Whelan J, Duane T, Aboutanos M, Malhotra A, Ivatury R.
J Trauma Acute Care Surg. 2013 Jan;74(1):220-3.

 

Screening for blunt cardiac injury: an Eastern Association for the Surgery of Trauma practice management guideline.
Clancy K, Velopulos C, Bilaniuk JW, Collier B, Crowley W, Kurek S, Lui F, Nayduch D, Sangosanya A, Tucker B, Haut ER; Eastern Association for the Surgery of Trauma.
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S301-6.