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transthoracic echo in hypovolemia

Paula Ferrada, Poornima Vanguri, Rahul J Anand, James Whelan, Therese Duane, Michel Aboutanos, Ajai Malhotra, Rao Ivatury
BACKGROUND: Limited transthoracic echocardiogram (LTTE) has been introduced as a technique to direct resuscitation in intensive care unit (ICU) patients. Our hypothesis is that LTTE can provide meaningful information to guide therapy for hypotension in the trauma bay. METHODS: LTTE was performed on hypotensive patients in the trauma bay. Views obtained included parasternal long and short, apical, and subxyphoid. Results were reported regarding contractility (good vs...
January 2013: Journal of Trauma and Acute Care Surgery
Paula Ferrada, Rahul J Anand, James Whelan, Michel A Aboutanos, Therese Duane, Ajai Malhotra, Rao Ivatury
Inferior vena cava (IVC) diameter change on limited transthoracic echocardiogram (LTTE) can provide a useful guide of fluid status evaluation in critically ill patients. Institutional review board approval was obtained. Prospective evaluation of hemodynamic status was performed in hypotensive patients via LTTE. Images were obtained using an ultrasound machine without M-mode capability. Qualitative assessment of the IVC was obtained via subxyphoid window. FLAT IVC was defined as diameter less than 2 cm and FAT IVC when the vein was equal or larger than 2 cm...
April 2012: American Surgeon
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