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Chapter 6 - Point-of-Care Transthoracic Echocardiography

Published online by Cambridge University Press:  28 April 2020

By
Julia Sobol  and
Oliver Panzer
Edited by
Andrew B. Leibowitz  and
Suzan Uysal
Andrew B. Leibowitz
Affiliation:
Icahn School of Medicine at Mount Sinai
Suzan Uysal
Affiliation:
Icahn School of Medicine at Mount Sinai
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Summary

Point-of-care transthoracic echocardiography (TTE) is integral to the practice of acute care medicine to help assess patients quickly, accurately, and non-invasively. This review discusses how point-of-care TTE works in terms of logistics and diagnostic capabilities, specifying the information available from each point-of-care TTE view. The TTE findings of potentially reversible causes of shock are also described to help distinguish different causes of shock and to guide management and therapeutic interventions. While data have not shown that point-of-care TTE improves patient outcomes or mortality, it can certainly narrow the differential diagnosis for the cause of shock, potentially allowing earlier, more appropriate treatment.

Keywords

Point-of-care echocardiographytransthoracic echocardiography (TTE)left ventricular systolic functionleft ventricular diastolic functionright ventricular functionpulmonary hypertensionvalvulopathiesshockhypotensioncardiac arrest
Type
Chapter
Information
Modern Monitoring in Anesthesiology and Perioperative Care , pp. 55 - 66
Publisher: Cambridge University Press
Print publication year: 2020

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