Utility of Functional Hemodynamics and Echocardiography to Aid Diagnosis and Management of Shock.

Journal Article (Journal Article;Review)

The utility of functional hemodynamics and bedside ultrasonography is increasingly recognized as advantageous for both improved diagnosis and management of shock states. In contrast to conventional "static" measures, "dynamic" hemodynamic measures and bedside imaging modalities enhance pathophysiology-based comprehensive understanding of shock states and the response to therapy. The current editions of major textbooks in the primary specialties--in which clinicians routinely encounter patients in shock--including surgery, anesthesia, emergency medicine, and internal medicine continue to incorporate traditional (conventional) descriptions of shock that use well-described (but potentially misleading) intravascular pressures to classify shock states. Reliance on such intravascular pressure measurements is not as helpful as newer "dynamic" functional measures including ultrasonography to both better assess volume responsiveness and biventricular cardiac function. This review thus emphasizes the application of current functional hemodynamics and ultrasonography to the diagnosis and management of shock as a contrast to conventional "static" pressure-based measures.

Full Text

Duke Authors

Cited Authors

  • McGee, WT; Raghunathan, K; Adler, AC

Published Date

  • December 2015

Published In

Volume / Issue

  • 44 / 6

Start / End Page

  • 535 - 541

PubMed ID

  • 26368925

Electronic International Standard Serial Number (EISSN)

  • 1540-0514

Digital Object Identifier (DOI)

  • 10.1097/SHK.0000000000000472


  • eng

Conference Location

  • United States