keyword
https://read.qxmd.com/read/38345712/comprehensive-temporal-analysis-of-right-ventricular-function-and-pulmonary-haemodynamics-in-mechanically-ventilated-covid-19-ards-patients
#21
JOURNAL ARTICLE
Vasiliki Tsolaki, George E Zakynthinos, Nikitas Karavidas, Vasileios Vazgiourakis, John Papanikolaou, Kyriaki Parisi, Paris Zygoulis, Demosthenes Makris, Epaminondas Zakynthinos
BACKGROUND: Cardiac injury is frequently reported in COVID-19 patients, the right ventricle (RV) is mostly affected. We systematically evaluated the cardiac function and longitudinal changes in severe COVID-19 acute respiratory distress syndrome (ARDS) admitted to the intensive care unit (ICU) and assessed the impact on survival. METHODS: We prospectively performed comprehensive echocardiographic analysis on mechanically ventilated COVID-19 ARDS patients, using 2D/3D echocardiography...
February 12, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38345648/-septic-cardiomyopathy-diagnosis-and-estimation-of-disease-severity
#22
REVIEW
Ursula Müller-Werdan, Alexander Vogt, Karl Werdan
BACKGROUND: The relevance of septic cardiomyopathy is frequently underestimated due to the complexity of the pattern of cardiac injury and the corresponding difficulties in quantifying the degree of functional impairment. AIM: Account of the methods for diagnosis and severity classification of septic cardiomyopathy. METHODS: Literature review and analysis of the main findings. RESULTS: Septic cardiomyopathy is characterized by both systolic and diastolic impairment of not only the left, but also the right ventricle, as well as by sinus-tachycardiomyopathy (≥ 90-95 beats/min) of variable degree...
February 12, 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38342307/validation-of-a-non-invasive-cardiac-output-monitor-in-maternal-cardiac-disease-comparison-of-nicom-and-transthoracic-echocardiogram
#23
JOURNAL ARTICLE
Karen L Florio, Emily M Williams, Darcy White, Tara Daming, Sarah Hostetter, Tabitha Schrufer-POLANDPhD, Rebecca Gray, Laura Schmidt, Anna Grodzinsky, John Lee, Valerie Rader, Kathleen Swearingen, Lynne Nelson, Neil Patel, Anthony Magalski, Kensey Gosch, Philip Jones, Zhuxuan Fu, John A Spertus
BACKGROUND: The physiologic changes to the cardiovascular system in pregnancy are considerable and are more pronounced in those with cardiac disease. In the general population, noninvasive hemodynamic monitoring is a valid alternative to pulmonary artery catheterization (PAC) which poses risk in the pregnant population. There is limited data on non-invasive cardiac output monitoring in pregnancy as an alternative to PAC. OBJECTIVE: We sought to compare transthoracic echocardiography (TTE) to a non-invasive cardiac output monitor (NICOM, Cheetah™) in pregnant patients with and without cardiac disease...
February 9, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38330737/hemodynamic-profile-of-cirrhotic-patients-with-sepsis-and-septic-shock-a-propensity-score-matched-case-control-study
#24
JOURNAL ARTICLE
Jee Young You, Ryota Sato, Sanchit Chawla, Aanchal Kapoor, Xiaofeng Wang, Patrick Collier, Georg Auzinger, Abhijit Duggal, Siddharth Dugar
PURPOSE: Our understanding of hemodynamics in cirrhotic patients with sepsis remains limited. Our study aims to investigate differences in hemodynamic profiles using echocardiography between septic patients with and without cirrhosis. MATERIALS AND METHODS: This is a single-center, retrospective study of septic patients with echocardiogram within 3 days of ICU admission. We compared baseline characteristics, echocardiographic markers of LV systolic function arterial load between patients with and without cirrhosis...
February 7, 2024: Journal of Critical Care
https://read.qxmd.com/read/38313413/off-pump-minimally-invasive-coronary-artery-bypass-grafting-in-patients-with-left-ventricular-dysfunction-the-lampang-experience
#25
JOURNAL ARTICLE
Ryohei Ushioda, Aina Hirofuji, Dit Yoongtong, Boonsap Sakboon, Jaroen Cheewinmethasiri, Hiroyuki Kamiya, Nuttapon Arayawudhikul
INTRODUCTION: The minimally invasive cardiac surgery off-pump coronary artery bypass (MICSOPCAB) is technically difficult; therefore, previous studies have indicated that MICSOPCAB should be contraindicated in patients with impaired left ventricular (LV) function. In this study, we investigated the feasibility of MICSOPCAB in patients with impaired LV function. METHODS: The 226 patients underwent MICSOPCAB between August 2017 and September 2022. Our study defined impaired LV function as ejection fraction (EF) in echocardiography 40% or less...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38313326/a-case-report-of-complex-congenital-heart-disease-co-existing-with-hypertrophic-cardiomyopathy
#26
Kuldeepa Veeratterapillay, Caroline J Coats, Ruairidh Martin, Bill Chaudhry, Louise Coats
BACKGROUND: Myocardial abnormalities are sometimes overlooked in congenital heart disease (CHD). The co-existence of hypertrophic cardiomyopathy is so uncommon that it is assumed to be a coincidence rather than an association. CASE SUMMARY: A 24-year-old gentleman, who was previously clinically well following a staged Fontan palliation for single-ventricle CHD, was transferred to our centre following an out-of-hospital cardiac arrest. He had return of spontaneous circulation after a period of cardiopulmonary resuscitation...
February 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38313304/design-of-a-workshop-for-focused-transesophageal-echocardiography-during-noncardiac-surgery-in-nurse-anesthesia-education
#27
JOURNAL ARTICLE
Barry Swerdlow, Lisa Osborne-Smith, Julie Soelberg
OBJECTIVE: The use of transesophageal echocardiography (TEE) by certified registered nurse anesthetists (CRNAs) during noncardiac surgery is relatively uncommon despite its unique potential to diagnose causes of hemodynamic instability. To address this problem, educational endeavors designed to provide practical TEE skills to CRNAs are needed. The aim of the current study was to evaluate the feasibility, acceptability, efficacy, and utility of a 2-day focused TEE workshop in nurse anesthesia education that employed a protocol involving a limited number of views and used goal-directed, qualitative assessments of critical physiologic parameters...
2024: Journal of Medical Education and Curricular Development
https://read.qxmd.com/read/38305657/easy-method-to-determine-fluid-responsiveness-in-septic-shock-patients-end-tidal-co2-a-prospective-observational-study
#28
JOURNAL ARTICLE
Hüseyin Özkarakaş, Oğuz Uçar, Zeki Tuncel Tekgül, Özkan Ozmuk, Mehmet Celal Öztürk, Mehmet Uğur Bilgin, Murat Samsa, Halide Hande Şahinkaya, Çagrı Yesilnacar
BACKGROUND: In critically ill patients, especially those with septic shock, fluid management can be a challenging aspect of clinical care. One of the primary steps in treating patients with hemodynamic instability is optimizing intravascular volume. The Passive Leg Raising (PLR) maneuver is a reliable test for assessing fluid responsiveness, as demonstrated by numerous studies and meta-analyses. However, its use requires the measurement of cardiac output, which is often complex and may necessitate clinician experience and specialized equipment...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38286981/transesophageal-echocardiographic-acquisition-of-the-venous-excess-ultrasound-exam-a-case-series-and-technical-description
#29
JOURNAL ARTICLE
Nathan H Waldron, Govind Pandompatam, Basar Sareyyupoglu, Hari Kalagara
PURPOSE: Obtaining an objective, reproducible, and accurate assessment of volume status is one of the more difficult tasks in the perioperative arena. Since its advent in 2020, the Venous Excess Ultrasound (VExUS) score has gained popularity in the minimally invasive assessment of venous congestion. The VExUS exam has been well described as an additional series of images (hepatic vein, portal vein, and intrarenal vein) obtained with a phased-array probe during a transthoracic echocardiogram...
January 29, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38286242/multimodality-imaging-approach-for-planning-and-guiding-direct-transcatheter-tricuspid-valve-annuloplasty
#30
REVIEW
Massimiliano Mariani, Michela Bonanni, Andreina D'Agostino, Giuseppe Iuliano, Alessia Gimelli, Michele Alessandro Coceani, Simona Celi, Giuseppe Massimo Sangiorgi, Sergio Berti
Interest in transcatheter treatment of tricuspid regurgitation (TR) has grown significantly in recent years due to increasing evidence correlating TR severity with mortality, and to limited availability of surgical options often considered high-risk in these patients. Although edge-to-edge repair is currently the main transcatheter therapeutic strategy, tricuspid valve (TV) direct annuloplasty can also be performed safely and effectively to reduce TR and improve heart failure symptoms and quality of life. In the annuloplasty procedure, an adjustable band is implanted around the tricuspid annulus in order to reduce valvular size and improve TR...
January 27, 2024: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/38280975/automatic-assessment-of-left-ventricular-function-for-hemodynamic-monitoring-using-artificial-intelligence-and-transesophageal-echocardiography
#31
JOURNAL ARTICLE
Jinyang Yu, Anders Austlid Taskén, Hans Martin Flade, Eirik Skogvoll, Erik Andreas Rye Berg, Bjørnar Grenne, Audun Rimehaug, Idar Kirkeby-Garstad, Gabriel Kiss, Svend Aakhus
We have developed a method to automatically assess LV function by measuring mitral annular plane systolic excursion (MAPSE) using artificial intelligence and transesophageal echocardiography (autoMAPSE). Our aim was to evaluate autoMAPSE as an automatic tool for rapid and quantitative assessment of LV function in critical care patients. In this retrospective study, we studied 40 critical care patients immediately after cardiac surgery. First, we recorded a set of echocardiographic data, consisting of three consecutive beats of midesophageal two- and four-chamber views...
January 27, 2024: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/38278357/videolaryngoscope-versus-conventional-technique-for-insertion-of-a-transesophageal-echocardiography-probe-in-intubated-icu-patients-vidlareco-trial-a-randomized-clinical-trial
#32
JOURNAL ARTICLE
Manuel Taboada, Agustín Cariñena, Ana Estany-Gestal, Diego Iglesias-Álvarez, Sonia Veiras, Adrián Martínez, María Eiras, Manuela De Miguel, Salomé Selas, Amparo Martínez-Monzonis, Pedro Pereira, María Bastos-Fernández, Violeta González-Salvado, María Álvarez-Barrado, Esteban Ferreiroa, Valentín Caruezo, Jose Costa, Alberto Naveira, Pablo Otero, Belén Adrio, Jose Manuel Martínez-Cereijo, Ángel Fernández, José Ramón González-Juanatey, Julián Álvarez, Teresa Seoane-Pillado
BACKGROUND: Transesophageal echocardiogram probe insertion in intubated critically ill patients can be difficult, leading to complications, such as gastric bleeding or lesions in the oropharyngeal mucosa. We hypothesised that the use of a videolaryngoscope would facilitate the first attempt at insertion of the transesophageal echocardiogram probe and would decrease the incidence of complications compared to the conventional insertion technique. METHODS: In this clinical trial, patients were randomly assigned the insertion of a transesophageal echocardiogram probe using a videolaryngoscope or conventional technique...
January 24, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38278176/ischemic-heart-disease-in-pregnancy-a-practical-approach-to-management
#33
JOURNAL ARTICLE
Andrew H Nguyen, Ellen Murrin, Axucillia Moyo, Garima Sharma, Scott A Sullivan, George L Maxwell, Jamie L W Kennedy, Antonio F Saad
Ischemic heart disease (IHD) is a critical issue during pregnancy. The term comprises both pre-existing conditions and acute coronary syndrome (ACS) in pregnancy including pregnancy-associated myocardial infarction (PAMI), which can have a significant impact on maternal and fetal outcomes. This review provides a complete guide to managing IHD in pregnant women, emphasizing the importance of multidisciplinary care and individualized treatment strategies. Cardiovascular disease, particularly IHD, is now the leading cause of maternal mortality worldwide...
January 24, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38271313/aortic-regurgitation-review-of-current-management
#34
REVIEW
Mohamed Toufic El Hussein, Dona Job, Jonah Hakkola
Aortic regurgitation (AR) is a valvular disease characterized by retrograde blood flow from the aorta to the left ventricle. Various etiologies result in either an acute or chronic clinical presentation of AR and affect the severity of disease progression. Acute AR is a medical emergency caused by sudden increases in left ventricular volume. Immediate surgical intervention, vasoactive agents, and antibiotics are crucial for management. Chronic AR progresses gradually, leading to heart failure symptoms due to left ventricular remodeling...
March 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38263970/correlation-analysis-between-lung-ultrasound-scores-and-pulmonary-arterial-systolic-pressure-in-patients-with-acute-heart-failure-admitted-to-the-emergency-intensive-care-unit
#35
JOURNAL ARTICLE
Ping Xu, Basma Nasr, Liang Li, Wenbin Huang, Wei Liu, Xuelian Wang
BACKGROUND: No convenient, inexpensive, and non-invasive screening tools exist to identify pulmonary hypertension (PH) - left heart disease (LHD) patients during the early stages of the disease course. This study investigated whether different methods of lung ultrasound (LUS) could be used for the initial investigation of PH-LHD. METHODS: This was a single-center prospective observational study which was performed in the Zigong Fourth People's Hospital. We consecutively enrolled patients with heart failure (HF) admitted to the emergency intensive care unit from January 2018 to May 2020...
January 2024: J Intensive Med
https://read.qxmd.com/read/38255361/diagnostic-accuracy-of-physical-examination-and-pulse-oximetry-for-critical-congenital-cardiac-disease-screening-in-newborns
#36
REVIEW
Jari T van Vliet, Naizihijwa G Majani, Pilly Chillo, Martijn G Slieker
BACKGROUND: Newborns with a critical congenital heart disease left undiagnosed and untreated have a substantial risk for serious complications and subsequent failure to thrive. Prenatal ultrasound screening is not widely available, nor is postnatal echocardiography. Physical examination is the standard for postnatal screening. Pulse oximetry has been proposed in numerous studies as an alternative screening method. This systematic review and meta-analysis aims to determine the diagnostic accuracies of both screening methods separately and combined...
December 29, 2023: Children
https://read.qxmd.com/read/38250570/newborn-pulse-oximetry-screening-for-detecting-congenital-heart-disease-experience-at-a-tertiary-care-center
#37
JOURNAL ARTICLE
Ziad R Bulbul, Nour K Younis, Farah Malaeb, Haytham Bou Hussein, Mariam Arabi, Fadi Bitar
BACKGROUND: Congenital heart disease (CHD) remains the number one birth defect worldwide. Pulse oximetry screening (POS) is a widely used CHD screening modality effective in detecting critical lesions. This study is aimed at assessing the accuracy and cost-effectiveness of POS in a cohort of term well-babies admitted to a regular nursery in a tertiary care center. METHODS: We reviewed the charts of term babies admitted to our regular nursery over a period of one year...
2024: International Journal of Pediatrics
https://read.qxmd.com/read/38240517/echocardiography-in-the-management-of-sepsis-not-all-black-and-white
#38
EDITORIAL
David M Maslove
No abstract text is available yet for this article.
February 1, 2024: Critical Care Medicine
https://read.qxmd.com/read/38240507/echocardiography-does-not-reduce-mortality-in-sepsis-a-re-evaluation-using-the-medical-information-mart-for-intensive-care-iv-dataset
#39
JOURNAL ARTICLE
Sebastiaan P Blank, Ruth M Blank
OBJECTIVES: Echocardiography is commonly used for hemodynamic assessment in sepsis, but data regarding its association with outcome are conflicting. The aim of this study was to evaluate the association between echocardiography and outcomes in patients with septic shock using the Medical Information Mart for Intensive Care IV database. DESIGN: Retrospective cohort study comparing patients who did or did not undergo transthoracic echocardiography within the first 5 days of admission for the primary outcome of 28-day mortality...
February 1, 2024: Critical Care Medicine
https://read.qxmd.com/read/38228991/the-value-of-right-ventricular-to-pulmonary-arterial-coupling-in-the-critically-ill-a-national-echocardiography-database-of-australia-neda-substudy
#40
JOURNAL ARTICLE
Emma Bowcock, Stephen Huang, Rachel Yeo, Deshani Walisundara, Chris F Duncan, Faraz Pathan, Geoffrey Strange, David Playford, Sam Orde
BACKGROUND: Right ventricular (RV) function is tightly coupled to afterload, yet echocardiographic indices of RV function are frequently assessed in isolation. Normalizing RV function for afterload (RV-PA coupling) using a simplified ratio of tricuspid annular plane systolic excursion (TAPSE)/ tricuspid regurgitant velocity (TRV) could help to identify RV decompensation and improve risk stratification in critically ill patients. This is the first study to explore the distribution of TAPSE/TRV ratio and its prognostic relevance in a large general critical care cohort...
January 16, 2024: Annals of Intensive Care
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