Skip to main content
SpringerLink
Log in

L’échocardiographie transthoracique et transœsophagienne

  • Chapter
Les techniques de monitorage hémodynamique en réanimation

Part of the book series: Le point sur ... ((POINT))

  • 547 Accesses

Abstrait

Parmi les outils dont le réanimateur dispose pour évaluer et surveiller le système cardiovasculaire des patients, l’échocardiographie est sans doute l’un des plus intéressants non seulement en raison de son caractère non invasif, mais surtout par la richesse des informations anatomiques et fonctionnelles fournies. Toutefois, la finesse et la fiabilité de l’analyse échographique sont très dépendantes de l’opérateur qui effectue l’examen, ce qui constitue une limite de la technique. De plus, la répétition des examens à but de monitorage n’est pas toujours possible quand l’observateur compétent n’est pas disponible. De ce fait, l’échocardiographie est plus souvent utilisée comme outil de diagnostic que comme outil de monitorage. Enfin, contrairement au cathéter artériel pulmonaire qui peut mesurer la saturation veineuse en oxygène, l’échocardiographie ne fournit aucune indication métabolique et ne peut donc pas préjuger du caractère adéquat ou non de l’état circulatoire d’un patient à un instant donné.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Price S, Nicol E, Gibson DG et al. (2006) Echocardiography in the critically ill: current and potential roles. Intensive Care Med 32: 48–59

    Article  PubMed  CAS  Google Scholar 

  2. Connors AF Jr., McCaffree DR, Gray BA (1983) Evaluation of right-heart catheterization in the critically ill patient without acute myocardial infarction. N Engl J Med 308: 263–7

    Article  PubMed  Google Scholar 

  3. Eisenberg PR, Jaffe AS, Schuster DP (1984) Clinical evaluation compared to pulmonary artery catheterization in the hemodynamic assessment of critically ill patients. Crit Care Med 12: 549–53

    Article  PubMed  CAS  Google Scholar 

  4. Slama MA, Novara A, Van de Putte P et al. (1996) Diagnostic and therapeutic implications of transesophageal echocardiography in medical ICU patients with unexplained shock, hypoxemia, or suspected endocarditis. Intensive Care Med 22: 916–22

    Article  PubMed  CAS  Google Scholar 

  5. Oh JK, Seward JB, Khandeira BK et al. (1990) Transesophageal echocardiography in critically ill patients. Am J Cardiol 66: 1492–5

    Article  PubMed  CAS  Google Scholar 

  6. Khoury AF, Afridi I, Quinones MA et al (1994) Transesophageal echocardiography in critically ill patients: feasibility, safety, and impact on management. Am Heart J 127: 1363–71

    Article  PubMed  CAS  Google Scholar 

  7. Heidenreich PA, Stainback RF, Redberg RF et al. (1995) Transesophageal echocardiography predicts mortality in critically ill patients with unexplained hypotension. J Am Coll Cardiol 26: 152–8

    Article  PubMed  CAS  Google Scholar 

  8. Sohn D, Shin G, Oh JK et al. (1995) Role of transesophageal echocardiography in hemodynamically unstable patients. Mayo Clin Proc 70: 925–31

    Article  PubMed  CAS  Google Scholar 

  9. Alam M (1996) Transesophageal echocardiography in critical care units: Henry Ford Hospital experience and review of the literature. Prog Cardiovasc Dis 38: 315–28

    Article  PubMed  CAS  Google Scholar 

  10. Hwang JJ, Shyu KG, Chen JJ et al. (1993) Usefulness of transesophageal echocardiography in the treatment of critically ill patients. Chest 104: 861–6

    Article  PubMed  CAS  Google Scholar 

  11. Vignon P, Mentec H, Terre S et al. (1994) Diagnostic accuracy and therapeutic impact of transthoracic and transesophageal echocardiography in mechanically ventilated patients in the ICU. Chest 106: 1829–34

    Article  PubMed  CAS  Google Scholar 

  12. Oh JK, Miller FA, Shub C et al. (1987) Evaluation of acute chest pain syndromes by twodimensional echocardiography: its potential application in the selection of patients for acute reperfusion therapy. Mayo Clin Proc 62: 59–66

    PubMed  CAS  Google Scholar 

  13. Peels CH, Visser CA, Kupper AJ et al. (1990) Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room. Am J Cardiol 65: 687–91

    Article  PubMed  CAS  Google Scholar 

  14. Sabia P, Abbott RD, Afrookteh A et al. (1991) Importance of two-dimensional echocardiographic assessment of left ventricular systolic function in patients presenting to the emergency room with cardiac-related symptoms. Circulation 84: 1615–24

    PubMed  CAS  Google Scholar 

  15. Sabia P, Afrookteh A, Touchstone DA et al. (1991) Value of regional wall motion abnormality in the emergency room diagnosis of acute myocardial infarction. A prospective study using two-dimensional echocardiography. Circulation 84: I85–92

    PubMed  CAS  Google Scholar 

  16. Buda AJ (1991) The role of echocardiography in the evaluation of mechanical complications of acute myocardial infarction. Circulation 84: I109–21

    PubMed  CAS  Google Scholar 

  17. Bolinger BS, Winslow TM (1994) Transesophageal echocardiographic diagnosis of a ruptured tricuspid valve chordae tendinae as the etiology for cardiogenic shock. Chest 105: 1286–8

    Article  PubMed  CAS  Google Scholar 

  18. Xie SW, Picard MH (1992) Two-dimensional and color Doppler echocardiographic diagnosis of penetrating missile wounds of the heart: chronic complications from intracardiac course of a bullet. J Am Soc Echocardiogr 5: 81

    PubMed  CAS  Google Scholar 

  19. Clements F (1993) The role of transesophageal echocardiography in patients with cardiac trauma. Anesth Analg 77: 1089–90

    Article  PubMed  CAS  Google Scholar 

  20. Porembka DT, Johnson DJ 2nd, Hoit BD et al. (1993) Penetrating cardiac trauma: a perioperative role for transesophageal echocardiography. Anesth Analg 77: 1275–7

    Article  PubMed  CAS  Google Scholar 

  21. Weiss RL, Brier JA, O’Connor W et al. (1996) The usefulness of transesophageal echocardiography in diagnosing cardiac contusions. Chest 109: 73–6

    PubMed  CAS  Google Scholar 

  22. Jardin F, Brun-Ney D, Auvert B et al. (1990) Sepsis-related cardiogenic shock. Crit Care Med 18: 1055–60

    Article  PubMed  CAS  Google Scholar 

  23. Poelaert J, Declerck C, Vogelaers D et al. (1997) Left ventricular systolic and diastolic function in septic shock. Intensive Care Med 23: 553–60

    Article  PubMed  CAS  Google Scholar 

  24. Jardin F, Fourme T, Page B et al. (1999) Persistent preload defect in severe sepsis despite fluid loading: A longitudinal echocardiographic study in patients with septic shock. Chest 116: 1354–9

    Article  PubMed  CAS  Google Scholar 

  25. Thomas F, Smith JL, Orme JF Jr et al. (1986) Reversible segmental myocardial dysfunction in septic shock. Crit Care Med 14: 587–8

    PubMed  CAS  Google Scholar 

  26. Jafri SM, Lavine S, Field BE et al. (1990) Left ventricular diastolic function in sepsis. Crit Care Med 18: 709–14

    Article  PubMed  CAS  Google Scholar 

  27. Vieillard-Baron A, Schmitt JM, Beauchet A et al. (2001) Early preload adaptation in septic shock? A transesophageal echocardiographic study. Anesthesiology 94: 400–6

    Article  PubMed  CAS  Google Scholar 

  28. Cholley B, Mebazaa A, Tavernier B et al. (2002). Coeur et sepsis. In: Cohen A, Belmatoug N (eds) Coeur & Médecine Interne. Estem, Paris, p. 1889

    Google Scholar 

  29. Vieillard-Baron A, Prin S, Chergui K et al. (2003) Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 168: 1270–6

    Article  PubMed  Google Scholar 

  30. Fowler NO (1993) Cardiac tamponade. A clinical or an echocardiographic diagnosis? Circulation 87: 1738–41

    PubMed  CAS  Google Scholar 

  31. Canivet JL (2003) Pitfalls in tamponade: main error causes in the clinical and echocardiographic diagnosis. Arch Mal Coeur Vaiss 96: 988–94

    PubMed  CAS  Google Scholar 

  32. Schoebrechts B, Herregods MC, Van de Werf F et al. (1993) Usefulness of transesophageal echocardiography in patients with hemodynamic deterioration late after cardiac surgery. Chest 104: 1631–2

    Article  PubMed  CAS  Google Scholar 

  33. McConnell MV, Solomon SD, Rayan ME et al. (1996) Regional right ventricular dysfunction detected by echocardiography in acute pulmonary embolism. Am J Cardiol 78: 469–73

    Article  PubMed  CAS  Google Scholar 

  34. Jardin F, Dubourg O, Bourdarias JP (1997) Echocardiographic pattern of acute cor pulmonale. Chest 111: 209–17

    PubMed  CAS  Google Scholar 

  35. Vieillard-Baron A, Qanadli SD, Antakly Y et al. (1998) Transesophageal echocardiography for the diagnosis of pulmonary embolism with acute cor pulmonale: a comparison with radiological procedures. Intensive Care Med 24: 429–33

    Article  PubMed  CAS  Google Scholar 

  36. Krivec B, Voga G, Zuran I et al. (1997) Diagnosis and treatment of shock due to massive pulmonary embolism: approach with transesophageal echocardiography and intrapulmonary thrombolysis. Chest 112: 1310–6

    PubMed  CAS  Google Scholar 

  37. Weyman AE (1994) Principles and practice of echocardiography. Philadelphia: Lea & Febiger

    Google Scholar 

  38. Cholley B, Vignon P (2002) Intérêt de l’échocardiographie pour guider le remplissage vasculaire. In: Vignon P, Goarin JP (eds) Échographie Doppler en réanimation, anesthésie et médecine d’urgence. Elsevier, p. 83

    Google Scholar 

  39. Teboul JL (2005) Recommandations d’experts de la SRLF. Indicateurs du remplissage vasculaire au cours de l’insuffisance circulatoire. Ann Fr Anesth Reanim 24: 268–76

    Google Scholar 

  40. Cholley BP, Payen D (2005) Non-invasive techniques for measurements of cardiac output. Curr Opin Crit Care 11: 424–9

    Article  PubMed  Google Scholar 

  41. Huntsman LL, Stewart DK, Barnes SR et al. (1983) Non-invasive Doppler determination of cardiac output in man: clinical validation. Circulation 67: 593–602

    PubMed  CAS  Google Scholar 

  42. Darmon PL, Axler O (2002) Mesure du débit cardiaque. In: Vignon P, Goarin JP (eds) Échocardiographie Doppler en réanimation, anesthésie, et médecine d’urgence. Elsevier, p. 172

    Google Scholar 

  43. Abbas AE, Fortuin FD, Schiller NB et al. (2003) Echocardiographic determination of mean pulmonary artery pressure. Am J Cardiol 92: 1373–6

    Article  PubMed  Google Scholar 

  44. Aurigemma GP, Gaasch WH (2004) Clinical practice. Diastolic heart failure. N Engl J Med 351: 1097–105

    Article  PubMed  CAS  Google Scholar 

  45. Appleton CP, Hatle LK, Popp RL (1988) Relation of transmitral flow velocity patterns to left ventricular diastolic function: new insights from a combined hemodynamic and Doppler echocardiographic study. J Am Coll Cardiol 12: 426–40

    Article  PubMed  CAS  Google Scholar 

  46. Slama M, Feissel M (2002) OEdème aigu du poumon. In: Vignon P, Goarin JP (eds) Échocardiographie Doppler en réanimation, anesthésie et médecine d’urgence. Elsevier, p. 478

    Google Scholar 

  47. Nagueh SF, Middleton KJ, Kopelen HA et al. (1997) Doppler tissue imaging: a non-invasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol 30: 1527–33

    Article  PubMed  CAS  Google Scholar 

  48. Ommen SR, Nishimura RA, Appleton CP et al. (2000) Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: A comparative simultaneous Doppler-catheterization study. Circulation 102: 1788–94

    PubMed  CAS  Google Scholar 

  49. Jones AE, Tayal VS, Sullivan DM et al. (2004) Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of nontraumatic hypotension in emergency department patients. Crit Care Med 32: 1703–8

    Article  PubMed  Google Scholar 

  50. Cholley BP, Vieillard-Baron A, Mebazaa A (2006) Echocardiography in the ICU: time for widespread use! Intensive Care Med 32: 9–10

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Département d’Anesthésie-Réanimation SMUR Hôpital Lariboisière, Assistance Publique, Hôpitaux de Paris, 75475, Paris Cedex 10

    B. Cholley

  2. Unité de Réanimation médicale Service de Néphrologie Hôpital d’Amiens, CHU Sud, ERI 12 INSERM Amiens, 80054, Amiens Cedex 1

    M. Slama

Authors
  1. B. Cholley
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Slama
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag France

About this chapter

Cite this chapter

Cholley, B., Slama, M. (2007). L’échocardiographie transthoracique et transœsophagienne. In: Les techniques de monitorage hémodynamique en réanimation. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-71154-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-2-287-71154-1_7

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-71153-4

  • Online ISBN: 978-2-287-71154-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation