Zhi-qun XING, Xiao-ting WANG, Da-wei LIU. Critical Ultrasonography: Hemodynamic Helper[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 461-464. doi: 10.3969/j.issn.1674-9081.2019.05.007
Citation: Zhi-qun XING, Xiao-ting WANG, Da-wei LIU. Critical Ultrasonography: Hemodynamic Helper[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 461-464. doi: 10.3969/j.issn.1674-9081.2019.05.007

Critical Ultrasonography: Hemodynamic Helper

doi: 10.3969/j.issn.1674-9081.2019.05.007
More Information
  • Corresponding author: WANG Xiao-ting Tel: 86-10-69152300, E-mail:1059915277@qq.com
  • Received Date: 2019-07-05
  • Publish Date: 2019-09-30
  • Recently, accompanying with more and more clinical and basic researches, our understanding of evaluating indexes of the diagnosis and treatment in critically ill patients has improved and developed. The treatment of critically ill patients has developed from group treatment and individual treatment to organ-based treatment. Treatments that directly evaluate blood flow of organs and aim at improving blood perfusion and function of organs are increasingly applied in critically ill patients. As an important monitoring and evaluating method for critically ill patients, critical ultrasonography plays an irreplaceable role in the treatment of critically ill patients, and constantly promotes physicians' understanding and evaluating diseases in the critical care. The application of critical ultrasonography revolutionized our understanding of systemic oxygen delivery, the heart, lungs, and other vital organs. At the same time, it promoted the clinical diagnosis and treatment of critically ill patients. How to better apply critical ultrasonography and evaluate organ hemodynamics is a very important problem for physicians of critical care. This article intends to systematically elaborate on the important role and application of critical ultrasonography in the assessment of systemic oxygen delivery and blood supply of organs, so as to provide a reference for clinicians.
  • loading
  • [1] 刘大为.休克的治疗:血流动力学启示录[J].协和医学杂志, 2017, 8:322-325. http://www.cnki.com.cn/Article/CJFDTotal-XHYX201706002.htm
    [2] 尹万红, 王小亭, 刘大为, 等.重症超声临床应用技术规范[J].中华内科杂志, 2018, 57:397-417. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhnk201806005
    [3] Roshdy A. Echodynamics:Interpretation, Limitations, and Clinical Integration![J]. J Intensive Care Med, 2018, 33:439-446. doi:  10.1177/0885066617734151
    [4] Evans RG, Smith JA, Wright C, et al. Urinary oxygen tension:a clinical window on the health of the renal medulla?[J]. Am J Physiol Regul Integr Comp Physiol, 2014, 306:R45-R50. doi:  10.1152/ajpregu.00437.2013
    [5] 王小亭, 刘大为, 张宏民, 等.重症右心功能管理专家共识[J].中华内科杂志, 2017, 56:962-973. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhnk201712020
    [6] Wang X, Su L, Yang R, et al. Myocardial strain/stress changes identified by echocardiography may reveal early sepsis-induced myocardial dysfunction[J]. J Int Med Res, 2018, 46:1439-1454. doi:  10.1177/0300060517737434
    [7] Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine[J]. Intensive Care Med, 2014, 40:1795-1815. doi:  10.1007/s00134-014-3525-z
    [8] Vieillard-Baron A, Matthay M, Teboul JL, et al. Experts' opinion on management of hemodynamics in ARDS patients:focus on the effects of mechanical ventilation[J]. Intensive Care Med, 2016, 42:739-749. doi:  10.1007/s00134-016-4326-3
    [9] Gattupalli V, Jain K, Samra T. Lung Ultrasound as a Bedside Tool for Assessment of Extravascular Lung Water in Critically Ill Head Injured Patients:An Observational Study[J]. Indian J Crit Care Med, 2019, 23:131-134. doi:  10.5005/jp-journals-10071-23135
    [10] Post EH, Vincent JL. Renal autoregulation and blood pressure management in circulatory shock[J]. Crit Care, 2018, 22:81. doi:  10.1186/s13054-018-1962-8
    [11] Kashani KB, Mao SA, Safadi S, et al. Association between kidney intracapsular pressure and ultrasound elastography[J]. Crit Care, 2017, 21:251. doi:  10.1186/s13054-017-1847-2
    [12] 邢志群, 刘大为, 王小亭, 等.肾脏阻力指数和尿氧分压联合应用对早期预测感染性休克患者发生急性肾损伤的价值[J].中华内科杂志, 2019, 58:349-354. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhnk201905004
    [13] de Azevedo DS, Salinet ASM, de Lima Oliveira M, et al. Cerebral hemodynamics in sepsis assessed by transcranial Doppler:a systematic review and meta-analysis[J]. J Clin Monit Comput, 2017, 31:1123-1132. doi:  10.1007/s10877-016-9945-2
    [14] Demene C, Tiran E, Sieu LA, et al. 4D microvascular imaging based on ultrafast Doppler tomography[J]. Neuroimage, 2016, 127:472-483. doi:  10.1016/j.neuroimage.2015.11.014
    [15] Schneider A, Johnson L, Goodwin M, et al. Bench-to-bedside review:contrast enhanced ultrasonography-a promising technique to assess renal perfusion in the ICU[J]. Crit Care, 2011, 15:157. doi:  10.1186/cc10058
  • 加载中


    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (530) PDF downloads(376) Cited by()
    Proportional views


    DownLoad:  Full-Size Img  PowerPoint