title: The Use of Ultrasound in Caring for Patients with Sepsis.
abstract: Echocardiography is a noninvasive and accurate tool used in the intensive care unit to assess cardiac function and monitor hemodynamics in shocked patients. During severe sepsis or septic shock, several mechanisms can lead to hemodynamic failure and have to be quickly and precisely diagnosed to propose adequate, personalized, and timely hemodynamic therapy. Echocardiography truly provides intensivists with this diagnostic possibility, whether or not there is fluid responsiveness, cardiac dysfunction, or persistent vasoplegia. Acquiring skills in critical care echocardiography is mandatory in improving management and monitoring of patients with sepsis at the bedside. How critical care echocardiography in managing patients with septic shock improves prognosis remains to be elucidated.
authors.affiliation: Intensive Care Unit, Section Thorax-Vascular Diseases-Abdomen-Metabolism, Hôpital Ambroise Paré, AP-HP, University Hospital Ambroise Paré, 9 Avenue Charles de Gaulle, Boulogne Billancourt 92104, France; Faculté de Médecine Paris Ile de France Ouest, Université de Versailles Saint Quentin en Yvelines, Versailles 78000, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Guérin
authors.affiliation: Intensive Care Unit, Section Thorax-Vascular Diseases-Abdomen-Metabolism, Hôpital Ambroise Paré, AP-HP, University Hospital Ambroise Paré, 9 Avenue Charles de Gaulle, Boulogne Billancourt 92104, France; Faculté de Médecine Paris Ile de France Ouest, Université de Versailles Saint Quentin en Yvelines, Versailles 78000, France; INSERM U-1018, CESP, Team 5 (EpReC, Renal and Cardiovascular Epidemiology), UVSQ, Villejuif 94807, France. Electronic address: antoine.vieillard-baron@apr.aphp.fr.
authors.forename: Antoine
authors.initials: A
authors.lastname: Vieillard-Baron
mesh_terms: D009202:Cardiomyopathies / Q000209:etiology*; D006439:Hemodynamics; D006801:Humans; D007362:Intensive Care Units; D018805:Sepsis / Q000000981:diagnostic imaging*
keywords: Critical care echocardiography; Hemodynamic monitoring; Septic cardiomyopathy; Septic shock