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5.2.9 - Echocardiography in Intensive Care
from Section 5.2 - Practical Cardiovascular System
- By Andrew P. Walden, Karim Fouad Alber
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 592-602
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Summary

Key Learning Points
1. Focussed echocardiography in the intensive care unit enables the physician to integrate echocardiographic findings as an extension of the clinical history and examination.
2. Ideally there are five views that should be assessed when performing a focussed intensive care echocardiography (FICE) scan.
3. The aim should be to acquire at least two acceptable views in order to confirm consistency in findings and avoid making judgements based on a single view that may have produced a spurious result.
4. The essence of FICE is for it to be utilised as a dichotomous decision-making tool designed to answer a series of questions in a patient with cardiovascular shock.
5. Common pathologies identified include dilated left ventricle, dilated right ventricle, hypovolaemia, pericardial effusion and pleural effusions.