23 years old male with mental status changes, tachycardia and suppressed TSH level.
Based on the above echocardiogram his ventricular function is:
0%Normal
0%Mildly decreaded
0%Moderately decreased
0%Severely decreased
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Hemodynamics Management
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Post cardiac arrest, CPR 15 min , ROSC achieved
Ibrahim Ameen
Mar 04
I think the proper is flipped
The large akentic chamber in the left has thick wall similar to LV
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VExUS for evaluation of venous congestion in a patient with mixed cardiogenic and distributive shock, acute respiratory failure, bibasilar infiltrates, and acute kidney injury.
Step 1: IVC diameter is 2.5 cm
Step 2: hepatic vein doppler assessment showing reversal of the systolic wave.
Step 3: Portal vein doppler assessment showing more than 50% variability
Ibrahim Ameen
Nov 25, 2023
Very beautiful demonstration
It helps to suggest offloading rather than fluid resuscitation
It requires stady hands and minimal pt movement (abd wise) in order to catch the image in PW mode
If my memory serves me right, there were only limited data from multiple case report
No strong data to suggest outcome
Yet a useful tool to add on for the management
If we have research, i think mortality outcome, Cr trend, O2 requirements, vasopressors doses would be excellent markers for monitoring
Thank you Dr Mazen for your amazing continuous contribution to enriching our knowledge
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ECLS-SHOCK trial investigated the effect of early extracorporeal life support (ECLS) on mortality in patients with heart attack-induced cardiogenic shock who were planned for early revascularization. Patients were assigned to ECLS plus medical treatment or medical treatment alone. After 30 days, mortality rates were similar between groups (ECLS: 47.8%, Control: 49.0%). ECLS patients had more bleeding (23.4% vs. 9.6%) and vascular complications (11.0% vs. 3.8%). ECLS didn't lower 30-day mortality in patients with infarct-related cardiogenic shock.
Extracorporeal Life Support in Infarct-Related Cardiogenic Shock | NEJM
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Creator- Subbarao Elapavaluru
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