Multiorgan ultrasound assessment in the ED (@giovolpicelli)
A controversial view perhaps??
Septic shock: from pathophysiology to treatment (Tavazzi)
Sepsis and cardiac dysfunction is common
Strain echocardiography is useful BUT not very feasible as it is challenging to get good quality views
Elastase measurement in sepsis gives an idea of ventriculoarterial coupling and is easy to perform (apparently)
Lung ultrasound for septic patients with acute respiratory failure (Mongodi)
Lung ultrasound as a diagnostic tool for consolidations in patients under mechanical ventilation is sensitive (91.7-93%) but poor specificity (0-63.2%)
Lung Ultrasound for Early Diagnosis of Ventilator-Associated Pneumonia. AUC ROC 0.83 – link
Spleen and kidney: a mirror to organ perfusion (Corradi)
1/ Yep. RRI is mostly info about macro hemodynamics, but there’s some local micro hemodynamic information in there. Improving RRI seems to improve renal outcomes. The question is if this is due to local or systemic flow patterns. If drop in RRI>SRI results inked AKI compared— korbinhaycockmd (@khaycock2) May 9, 2019
Ultrasound to open a window in the brain (@fabio_taccone)
Using contrast-enhanced ultrasound to study kidney perfusion – Acute kidney injury is associated with a decrease in cortical renal perfusion during septic shock
Setting up the ventilator using ultrasound (Golligher)
My personal opinion is that there are high inter- and intra- observer variation in measurements of diaphragm thickness.
Is there an ideal amount of ‘effort’ diaphragm thickening that impacts outcomes? If so, could you design a treatment pathway?