Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-2: Cardiopulmonary Point-of-Care Ultrasound (Brandon M. Wiley, MD, MS, FASE, FACC)

2: Cardiopulmonary Point-of-Care Ultrasound (Brandon M. Wiley, MD, MS, FASE, FACC)

Video Transcription

Video Summary

The talk focuses on cardiopulmonary point-of-care ultrasound in the care of critically ill patients. The speaker discusses the holistic approach to bedside ultrasound in the ICU, with a focus on cardiopulmonary ultrasound, including pulmonary ultrasound and cardiac ultrasound. The speaker highlights the importance of integrating lung ultrasound and cardiac ultrasound to make a rapid diagnosis of the underlying etiology of a patient's critical illness or decompensation at the bedside. The speaker provides examples of cases where cardiopulmonary ultrasound was used to diagnose specific conditions, such as a patient with an RV infarct, a patient with pneumonia, a patient with hypovolemic shock, a patient with anaphylaxis and stress cardiomyopathy, and a patient with a tension pneumothorax. The speaker emphasizes the importance of understanding hemodynamics, such as cardiac output and central venous pressure, in guiding the management of shock patients. The speaker also discusses the use of Doppler-derived stroke volume to assess cardiac output, as well as the use of abdominal and vascular ultrasound to assess volume status and potential sources of bleeding. Overall, the talk highlights the value of cardiopulmonary ultrasound in the ICU and encourages its integration into clinical practice.

Keywords

cardiopulmonary point-of-care ultrasound

ICU

bedside ultrasound

pulmonary ultrasound

cardiac ultrasound

lung ultrasound

rapid diagnosis

hemodynamics

Doppler-derived stroke volume

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