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2017, Número 2

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Med Crit 2017; 31 (2)


Ecocardiografía funcional en la unidad de reanimación como monitor hemodinámico

Mercadal MJ, Borrat FX, Guido GRE, Zavala ZE

Idioma: Español
Referencias bibliográficas: 26
Paginas: 84-92
Archivo PDF: 170.27 Kb.


RESUMEN

La ecocardiografía es una herramienta que desde hace años se ha introducido en las unidades de reanimación. La ausencia de una formación reglada, la larga curva de aprendizaje y el hecho de que la mayoría de protocolos orientados al estudio de la inestabilidad hemodinámica se basan en un concepto estructural, complican su aplicación rutinaria en un contexto tan complejo. Este artículo pretende dar una visión funcional de la ecocardiografía de manera que, integrándola junto con la clínica y otros sistemas de monitorización, se convierta en una herramienta de monitorización hemodinámica a pie de cama. Mediante el uso de un número limitado de planos explicaremos la valoración de diversas herramientas que nos permiten estimar las variables determinantes de la perfusión (precarga estática y dinámica, función biventricular), que a su vez integradas mediante un mapa mental nos asistirán en la toma de decisiones clínicas.


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