hypertension-nuclear-cardiology-2017-posters-abstracts

Volume 6, Issue 3 (Suppl)

J Hypertens, an open access journal

ISSN: 2167-1095

Page 87

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Hypertension 2017 & Nuclear Cardiology 2017

September 11-13, 2017

JOINT EVENTON

and

September 11-13, 2017 | Amsterdam, Netherlands

International Conference on

Hypertension & Healthcare

International Conference on

Non-invasive Cardiac Imaging, Nuclear Cardiology & Echocardiography

Algorithms of respiratory failure and shock guided by ultrasound in critical units

Raul Vicho Pereira

Spanish Society of Ultrasound in Critics - ECOCRITIC

Introduction

: Doppler echocardiography (TEE) and pulmonary ultrasonography (PE) have become basic tools with the

highest level of recommendation in the patient in shock and in the patient with respiratory insufficiency. However, there is no

algorithm with a high level of sensitivity and specificity for the differential diagnosis of both in critical areas. The BLUE, FATE

and FALLS protocols are very focused on initial diagnosis in emergency areas.

Method

: We propose, from ECOCRITIC, algorithms for the management of shock and dyspnoea by performing ETT and EP.

In order to study the patient in shock, 5 Doppler echocardiography chambers with evaluation of mitral E wave and Tissue Wave

(to assess left ventricular preload), v. systolic in left ventricular outflow tract, maximum valve velocity Aortic, indirect calculus

of peripheral resistences, left and right contractility, discard pericardial dermis, discard pleural effusion by exploring axillary

windows and pneumothorax by pulmonary ultrasound. For the respiratory insufficiency, the left ventricular preload is also

measured in 5 ETT chambers, the axillary windows to rule out atelectasis / pleural effusion and to evaluate the diaphragmatic

excursion (ED), the distribution in both hemitorax of the existing pulmonary pattern along the aspect of the anterior pleural

line.

Conclusion

: These algorithms allow to diagnose and guide in the treatment of the causes of the 2 most important syndromes

in the critical units: shock and respiratory failure.

J Hypertens 2017, 6:3(Suppl)

DOI: 10.4172/2167-1095-C1-003