SCCM Resource Library-Echocardiography for Assessment of Hemodynamics

Video Transcription

Video Summary

The video discusses the challenges in assessing right ventricular (RV) function using echocardiography. It proposes more precise measures for evaluating RV size and function and explains various measurements that can be used. The importance of assessing RV interdependence and its impact on left ventricular function is highlighted. The presenters discuss different methods of quantitating RV function, including fractional area change, tissue Doppler S wave, and tricuspid annular plane systolic excursion (TAPSE). They also mention newer modalities such as three-dimensional echo ejection fraction and right ventricular strain imaging. The challenges of assessing RV function in the intensive care unit (ICU) are discussed, and the use of focused echocardiography in this setting is suggested. The benefits of having a dedicated cardiac sonographer in the ICU and the importance of collaboration between cardiology and critical care are also mentioned. Overall, the video provides insights into the assessment of RV function using echocardiography, particularly in the ICU setting.

Asset Subtitle

Procedures, Cardiovascular, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Recognize the complexity of echocardiographic assessment of cardiac performance
Discover the degree to which technical skill and advanced Doppler echocardiographic techniques are useful in achieving optimal evaluation of left and right systolic and diastolic dysfunction
Apply echocardiographic measurements to the formulation of therapeutic plans in different clinical situations, particular those with a degree of hemodynamic complexity

Left Ventricular Function and Cardiac Output
Keith R. Walley

Diastolic Performance
Cliff Greyson

Right Ventricular Performance
Steven M. Hollenberg

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Cardiovascular

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Echocardiography

Tag Point of Care

Tag Ventricular Function

Tag Cardiothoracic Critical Care

Year 2021

Keywords

RV function

echocardiography

RV size

RV interdependence

left ventricular function

fractional area change

tissue Doppler S wave

tricuspid annular plane systolic excursion

three-dimensional echo ejection fraction

right ventricular strain imaging

intensive care unit

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