SCCM Resource Library-Current Opinions in Shock Monitoring Ultrasonography: Taking the Guesswork out of Shock

Video Transcription

Video Summary

In this video, Dr. Brandon Wiley discusses the use of ultrasound in the diagnosis and management of shock. He emphasizes the importance of an integrated, multi-organ system approach using ultrasound to determine the etiology of shock. Dr. Wiley explains how cardiac ultrasound can be used to assess hemodynamics such as stroke volume, cardiac output, and central venous pressure. He also discusses the use of pulmonary ultrasound to assess lung status and abdominal ultrasound to identify possible sources of infection. Dr. Wiley highlights the role of Doppler hemodynamics in guiding therapy and determining fluid responsiveness. He discusses the use of passive leg raise tests and the calculation of stroke volume to assess fluid tolerance. Finally, Dr. Wiley discusses the use of ultrasound in risk stratification, including the assessment of cardiac power output and the Forrester classification for heart failure. He concludes by emphasizing the importance of integrating ultrasound findings with the clinical presentation to guide diagnosis and management in patients with shock.

Asset Subtitle

Cardiovascular, 2022

Asset Caption

Hemodynamics in patients with shock are often complex and can change rapidly as the course of disease evolves and as therapies are initiated. Close monitoring of patients with shock is clearly important, but precisely how to do this remains a subject of great controversy. Years ago, invasive hemodynamic monitoring was common and even routine in some settings, but over time less invasive options have evolved. It remains uncertain whether something has been lost in this shift.

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Hemodynamic Monitoring

Tag Cardiothoracic Critical Care

Year 2022

Keywords

ultrasound

shock

hemodynamics

fluid responsiveness

Doppler

diagnosis

management

integrated approach

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.