A new approach of non‐invasive hemodynamic assessment by echocardiography in the intensive care unit: The right intercostal transhepatic window

Echocardiography has gained great acceptance in the management of critically ill patients, allowing non‐invasive hemodynamic assessment, through conventional cardiac windows such as the parasternal, apical and subxiphoid views. However, it is not always possible to get good quality images because of...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2022-05, Vol.39 (5), p.752-754
Main Authors: Cheong, Issac, Bermeo, Milton, Merlo, Pablo M., Tamagnone, Francisco M.
Format: Article
Language:English
Subjects:
echocardiography
hemodynamic assessment
POCUS
point‐of‐care ultrasound
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Summary:Echocardiography has gained great acceptance in the management of critically ill patients, allowing non‐invasive hemodynamic assessment, through conventional cardiac windows such as the parasternal, apical and subxiphoid views. However, it is not always possible to get good quality images because of the interposition of the lung or the presence of surgical drainages at the thoracic region. Based on these issues, we described a case in which echocardiographic assessment was possible through a novel approach: the right intercostal transhepatic window (RITW), through which we diagnosed significant aortic regurgitation in a patient with pulmonary edema.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.15353