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Seminars in Cardiothoracic and Vascular Anesthesia
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The Failing Heart Under Stress: Echocardiography is an Essential Monitoring Tool in the Intensive Care Unit

Jan Poelaert, MD, PhD

Cardiac Anesthesia and Postoperative Cardiac Surgical ICU, University Hospital Ghent, De Pintelaan 185, 9000 Gent, Belgium jan.poelaert{at}ugent.be

Echocardiography has been evolving to play a pivotal role in hemodynamic management, both intraoperatively and at the bedside. A full assessment of hemodynamics necessitates the use of all of the options available on modern echocardiographs. This introductory review provides insight into three important issues of hemodynamic monitoring by echocardiography: evaluation of preloading conditions, assessment of systolic function, and contractility and estimation of afterload. Mastering these three features will help in a minimally invasive approach of hemodynamic instability.

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 10, No. 1, 111-115 (2006)
DOI: 10.1177/108925320601000118
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