Focused comprehensive, quantitative, functionally based echocardiographic evaluation in the critical care unit is feasible and impacts care

Military Medicine
Sarah MurthiThomas Scalea

Abstract

To determine whether comprehensive quantitative echocardiogram could be used as a resuscitation tool in critically ill surgical patients and to assess its effect on patient care. Prospective observational. The Trauma and Surgical Intensive Care Units of the University of Maryland Medical Center. Critically ill trauma and surgical patients. The Focused Rapid Echocardiographic Evaluation (FREE), an abbreviated version of a comprehensive transthoracic echocardiogram, which is under an approved protocol, was performed. Over a 30-month period, 791 FREEs were performed on 659 patients. The mean patient age was 60 (±17) years. Ninety-one percent were intubated and 80% were postoperative. Ejection fraction was reported for 95%, and cardiac index was reported for 89% of FREE studies. Right heart function was assessed for 94%. Measures of volume status--internal left ventricular diameter, inferior vena cava diameter, diameter change, and stroke volume variation--were reported for 88%, 79%, 75%, and 89% of patients, respectively. The FREE was judged to be useful by the consulting primary care team for 95% of patients, and altered the plan of care for 57%. The most common change was administration of a fluid bolus (43%), followed by change...Continue Reading

Citations

Jan 23, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jacob Glaser, Sarah Murthi
Dec 29, 2016·The Journal of Trauma and Acute Care Surgery·Sarah B MurthiThomas M Scalea
Jul 28, 2019·The Journal of Trauma and Acute Care Surgery·Peter P OlivieriSarah B Murthi
Aug 21, 2020·Cardiovascular Ultrasound·Ehson AligholizadehSarah Murthi
Oct 22, 2016·The Journal of Trauma and Acute Care Surgery·Jacob J GlaserSarah B Murthi

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