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Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art

Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from su...

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Autores principales: Muñoz-Rodríguez, Rebeca, García-González, Martín Jesús, Jorge-Pérez, Pablo, Martín-Cabeza, Marta M., Izquierdo-Gómez, Maria Manuela, Marí-López, Belén, Duque-González, María Amelia, Barragán-Acea, Antonio, Lacalzada-Almeida, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585073/
https://www.ncbi.nlm.nih.gov/pubmed/34768629
http://dx.doi.org/10.3390/jcm10215108
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author Muñoz-Rodríguez, Rebeca
García-González, Martín Jesús
Jorge-Pérez, Pablo
Martín-Cabeza, Marta M.
Izquierdo-Gómez, Maria Manuela
Marí-López, Belén
Duque-González, María Amelia
Barragán-Acea, Antonio
Lacalzada-Almeida, Juan
author_facet Muñoz-Rodríguez, Rebeca
García-González, Martín Jesús
Jorge-Pérez, Pablo
Martín-Cabeza, Marta M.
Izquierdo-Gómez, Maria Manuela
Marí-López, Belén
Duque-González, María Amelia
Barragán-Acea, Antonio
Lacalzada-Almeida, Juan
author_sort Muñoz-Rodríguez, Rebeca
collection PubMed
description Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from such support is challenging. Intensive care unit (ICU) bedside echocardiography provides noninvasive, immediate, and low-cost monitoring of hemodynamic parameters such as cardiac output, filling pressure, structural disease, congestion status, and device functioning. Supplemented by an ultrasound of the lung and diaphragm, it is able to provide valuable information about signs suggesting a weaning failure. The aim of this article was to review the state of the art taking into account current evidence and knowledge on ICU bedside ultrasound for the evaluation of weaning from mechanical ventilation and circulatory support in cardiogenic shock.
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spelling pubmed-85850732021-11-12 Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art Muñoz-Rodríguez, Rebeca García-González, Martín Jesús Jorge-Pérez, Pablo Martín-Cabeza, Marta M. Izquierdo-Gómez, Maria Manuela Marí-López, Belén Duque-González, María Amelia Barragán-Acea, Antonio Lacalzada-Almeida, Juan J Clin Med Review Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from such support is challenging. Intensive care unit (ICU) bedside echocardiography provides noninvasive, immediate, and low-cost monitoring of hemodynamic parameters such as cardiac output, filling pressure, structural disease, congestion status, and device functioning. Supplemented by an ultrasound of the lung and diaphragm, it is able to provide valuable information about signs suggesting a weaning failure. The aim of this article was to review the state of the art taking into account current evidence and knowledge on ICU bedside ultrasound for the evaluation of weaning from mechanical ventilation and circulatory support in cardiogenic shock. MDPI 2021-10-30 /pmc/articles/PMC8585073/ /pubmed/34768629 http://dx.doi.org/10.3390/jcm10215108 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Muñoz-Rodríguez, Rebeca
García-González, Martín Jesús
Jorge-Pérez, Pablo
Martín-Cabeza, Marta M.
Izquierdo-Gómez, Maria Manuela
Marí-López, Belén
Duque-González, María Amelia
Barragán-Acea, Antonio
Lacalzada-Almeida, Juan
Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
title Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
title_full Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
title_fullStr Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
title_full_unstemmed Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
title_short Ultrasound Assessment in Cardiogenic Shock Weaning: A Review of the State of the Art
title_sort ultrasound assessment in cardiogenic shock weaning: a review of the state of the art
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585073/
https://www.ncbi.nlm.nih.gov/pubmed/34768629
http://dx.doi.org/10.3390/jcm10215108
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