title: Echocardiographic hemodynamic monitoring in the critically ill patient.
abstract: Echocardiography has shown to be an essential diagnostic tool in the critically ill patient's assessment. In this scenario the initial fluid therapy, such as it is recommended in the actual clinical guidelines, not always provides the desired results and maintains a considerable incidence of cardiorrespiratory insufficiency. Echocardiography can council us on these patients' clinical handling, not only the initial fluid therapy but also on the best-suited election of the vasoactive/ inotropic treatment and the early detection of complications. It contributes as well to improving the etiological diagnosis, allowing one to know the heart performance with more precision. The objective of this manuscript is to review the more important parameters that can assist the intensivist in theragnosis of hemodynamically unstable patients.
authors: Intensive Care Unit, Critical Care and Emergency Department, Puerto Real University Hospital, Cadiz, Spain. romerobermejo@gmail.com
authors: Francisco J
authors: FJ
authors: Romero-Bermejo
authors: Manuel
authors: M
authors: Ruiz-Bailen
authors: Manuel
authors: M
authors: Guerrero-De-Mier
authors: Julian
authors: J
authors: Lopez-Alvaro
mesh_terms: D003422:Critical Care / Q000379:methods*; D004452:Echocardiography / Q000379:methods*; D005440:Fluid Therapy; D006331:Heart Diseases / Q000175:diagnosis; D006439:Hemodynamics; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods; D010940:Plant Proteins; D012772:Shock, Septic / Q000000981:diagnostic imaging / Q000628:therapy; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D018754:Ventricular Dysfunction / Q000000981:diagnostic imaging / Q000628:therapy
chemical_list: D010940:Plant Proteins; C097129:TROLC protein, Nicotiana tabacum