About this book
Echocardiography is the most versatile cardiac imaging technology readily available at the patient's bedside. Its superb diagnostic ability relates to the potential to identify any hemodynamic condition and cardiac pathology that implies a morphologic and/or a flow pattern change. Because the machines themselves are small, portable and powerful and reporting can be swift and revealing, echocardiography is an essential part of the diagnostic strategy when dealing with critically ill patients.
Emergency Echocardiography is a step-by-step guide for cardiologists, intensivists, emergency room doctors and sonographers faced with critically ill patients in whom major therapeutic decisions could depend on the information provided by timely and accurate examination. It includes both specific cardiology topics, such as aortic pathology, valvular emergencies, mechanical complications of myocardial infarction or tamponade, and general intensive care situations, such as pulmonary embolism, resuscitation, sepsis and the need for filling status assessment. In doing so, it addresses the practical needs of cardiology trainees and of intensivists faced with the increased use of echocardiography in an acute care setting.
Cardiology, emergency medicine and intensive care residents and fellows; senior physicians, sonographers and emergency room personnel, for both clinical use and teaching purposes
Table of contents
Getting ready for the study: How to set up the machine.- Ultrasound systems basics.- Controls and settings. Emergency Echocardiography: General outlook.- Patterns of use and indications.- Impact.- Clinical scenarios.- Hand-held echocardiography.- TEE vs. TTE. Echocardiography in the hypotensive patient. Echocardiography in the hypoxaemic patient. Echocardiography in valvular emergencies. Echocardiography in acute coronary and chest pain syndromes.- Suspected ischemic chest pain evaluation.- Unstable patients.- Mechanical complications of myocardial infarction. Echocardiography in suspected acute aortic dissection. Echocardiography in acute pulmonary embolism. Echocardiography in acute systemic embolism. Echocardiography in the resuscitated patient. Appendix A: relevant guidelines. Appendix B: Reference values.