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In circulatory failure, fluid administration limited by lung sonography protocol uses lung ultrasound artifacts and makes sequential diagnosis of obstructive, cardiogenic, hypovolemic, and septic shock. Lung ultrasound is used along with simple cardiac and vena cava analysis. Whenever echocardiography cannot be performed, fluid administration limited by lung sonography protocol is favored because of its simplicity and could prove contributive. It is based on the presence (B profile) or the absence (A profile) of interstitial pulmonary edema. However, the latter does not represent actual alveolar edema, and transthoracic echocardiography is still used by intensivists as a pivotal hemodynamic measure. Tissue Doppler imaging facilitates the estimation of left ventricular filling pressures, whereas assessing right ventricular function is of prognostic value in states of shock due to massive pulmonary embolism and acute respiratory distress syndrome. In mechanically ventilated patients, poor acoustic windows are evident and performing transesophageal echocardiography may be necessary. Whenever noninvasive hemodynamic measures are inconclusive, in a deteriorating patient, a pulmonary artery catheter may be placed. Ultrasound is not a therapy but a guide for treatment, and physicians should aim to treat underlying pathologies. Despite its limitations, general chest ultrasound (lung and cardiac ultrasound) is a powerful diagnostic and monitoring tool reflecting an era of genuine “visual” medicine. 相似文献
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Harry Acquatella Federico M. Asch Marcia M. Barbosa Marcio Barros Caryn Bern Joao L. Cavalcante Luis Eduardo Echeverria Correa Joao Lima Rachel Marcus Jose Antonio Marin-Neto Ricardo Migliore Jose Milei Carlos A. Morillo Maria Carmo Pereira Nunes Marcelo Luiz Campos Vieira Rodolfo Viotti 《Journal of the American Society of Echocardiography》2018,31(1):3-25
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Lawrence G. Rudski Luna Gargani William F. Armstrong Patrizio Lancellotti Steven J. Lester Ekkehard Grünig Michele DAlto Meriam ?str?m Aneq Francesco Ferrara Rajeev Saggar Rajan Saggar Robert Naeije Eugenio Picano Nelson B. Schiller Eduardo Bossone 《Journal of the American Society of Echocardiography》2018,31(5):527-550.e11
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Fabien Praz Omar K. Khalique Leon G. Dos Reis Macedo Todd C. Pulerwitz Jennifer Jantz Isaac Y. Wu Alex Kantor Amisha Patel Torsten Vahl Vinayak Bapat Isaac George Tamim Nazif Susheel K. Kodali Martin B. Leon Rebecca T. Hahn 《Journal of the American Society of Echocardiography》2018,31(11):1190-1202.e3
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William A. Zoghbi Federico M. Asch Charles Bruce Linda D. Gillam Paul A. Grayburn Rebecca T. Hahn Ignacio Inglessis Ashequl M. Islam Stamatios Lerakis Stephen H. Little Robert J. Siegel Nikolaos Skubas Timothy C. Slesnick William J. Stewart Paaladinesh Thavendiranathan Neil J. Weissman Satoshi Yasukochi Karen G. Zimmerman 《Journal of the American Society of Echocardiography》2019,32(4):431-475
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Thomas R. Porter Sharon L. Mulvagh Sahar S. Abdelmoneim Harald Becher J. Todd Belcik Michelle Bierig Jonathan Choy Nicola Gaibazzi Linda D. Gillam Rajesh Janardhanan Shelby Kutty Howard Leong-Poi Jonathan R. Lindner Michael L. Main Wilson Mathias Margaret M. Park Roxy Senior Flordeliza Villanueva 《Journal of the American Society of Echocardiography》2018,31(3):241-274
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