A Wieczorek

P Garba

T Zawada

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POSTER PRESENTATION Open Access
Point of care ultrasound - the noninvasive
evaluation of hemodynamic status
T Zawada*, A Wieczorek, P Garba
From ESICM LIVES 2015
Berlin, Germany. 3-7 October 2015
Introduction
Echocardiography(ECHO) is a useful diagnostic and moni-
toring tool. It allows to perform repetitive hemodynamic
and functional assessment over a period of minutes, hours
or days in the same patients to guide applied therapy.
ECHO has been performed by our medical staff for
3 years and since then we have been observing reduced
number of using invasive monitoring in our ICU.
Objectives
The aim of the study was to analyze impact on diagnosis,
decision making and management based on data received
from invasive monitoring vs. echocardiography.
Methods
Data from 2 years before and 2 years after implementing
a routine echocardiography to provide hemodynamic
assessments have been compared and statistical analysis
has been made.
Results
Conclusions
Echocardiography could be a useful method to asses
patients hemodynamic status and to plan fluid or ino-
tropic therapy. In our investigation ECHO allowed to
reduce usage of fluids and
did not influence on mean time of mechanical ventila-
tion and mortality.
Grant Acknowledgment
ICU Staff.
Published: 1 October 2015
References
1. Poter TR, Shillcutt SK, Adams MS, Desjardins G, Glas KE, Olson JJ, et al:
Guidelines for the Use of Echocardiography as a Monitor for Therapeutic
Intervention in Adults: A Report from the American Society of
Echocardiography. J Am Soc Echocardiogr 2015, 28(1):40-56.
2. Roscoe A, Strang T: Echocardiography in intensive care. Contin Educ
Anaesth Crit Care Pain 2008, 8(2):46-49.
3. Charron C, Caille V, Jardin F, Vieillard-Baron A: Echocardiographic
measurement of fluid responsiveness. Curr Opin Crit Care 2006,
12(3):249-254.
4. Repessé X, Charron C, Vieillard-Baron A: Intensive care ultrasound: V. Goal-
directed echocardiography. Ann Am Thorac Soc 2014, 11(1):122-128.
5. Charron C, Repessé X, Bodson L, Au SM, Vieillard-Baron A: Ten good
reasons why everybody can and should perform cardiac ultrasound in
the ICU. Anaesthesiol Intensive Ther 2014, 46(5):319-322.
doi:10.1186/2197-425X-3-S1-A543
Cite this article as: Zawada et al.: Point of care ultrasound - the
noninvasive evaluation of hemodynamic status. Intensive Care Medicine
Experimental 2015 3(Suppl 1):A543.
4 WSK z Poliklinika we Wroclawiu, Wrocław, Poland
Table 1. Results
2011-2012 2013-2014 p
Number of hospitalized patients 666 648 NS
SAPS2 52.6 53 NS
Mean age of hospitalized patients 61 62 NS
Mean time of ICU hospitalization
(days)
7.1 8.0 NS
Infections rate/1000 34.3 55.6 NS
Mean time of mechanical
ventilation
6.2 8.3 NS
COST OF COLLOIDS per year (euro) 6110 2755 p < 0.05
COST OF CRISTALLOIDS per year
(euro)
2985 4118.5 p < 0.05
Mortality 36.5% 36% NS
Zawada et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A543
http://www.icm-experimental.com/content/3/S1/A543
© 2015 Zawada et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://
creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.


POINT OF CARE ULTRASOUND - THE NONINVASIVE EVALUATION OF HEMODYNAMIC STATUS

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POINT OF CARE ULTRASOUND - THE NONINVASIVE EVALUATION OF HEMODYNAMIC STATUS

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