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Clinical Applications of Ultrasound Skills

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Ultrasonography in the ICU

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Abstract

The following chapter elaborates on how ultrasound can be applied as a tool to evaluate the hypotensive patient. The previous chapters have described in detail the technique for vascular, abdominal, lung, pleura and cardiac ultrasound as well as the basic principles of this technology. This chapter integrates that knowledge into clinical practice specifically directed to guide therapy in the hypotensive patient.

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Author information

Authors and Affiliations

  1. Critical Care and Emergency Surgery, Virginia Commonwealth University, 1200 E Broad St, Richmond, VA, USA

    Prof. Paula Ferrada MD FACS

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  1. Prof. Paula Ferrada MD FACS
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Correspondence to Paula Ferrada MD FACS .

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Editors and Affiliations

  1. Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA

    Paula Ferrada

Electronic supplementary material

Appendix

Appendix

Video 8.1 A flat IVC. In the setting of hypotension this image is diagnostic of hypovolemia.

Video 8.2 A hyperdynamic heart. In the setting of hypotension, a hyperdynamic heart should be considered a sign of hypovolemia.

Video 8.3 Positive EFAST in Morrison’s pouch. On a hypotensive trauma patient, this fluid is blood until proven otherwise.

Video 8.4 Positive EFAST for intrathoracic fluid. On a hypotensive trauma patient, this fluid is blood until proven otherwise.

Video 8.5 Poor contractility.

Video 8.6 Right-sided cardiac dysfunction.

Video 8.7 Cardiac tamponade. Notice the complete compression of the right-sided cardiac structures.

Video 8.8 This video shows a pericardial effusion and a pleural effusion. In this case it was an injury to the right ventricle decompressing into the thoracic cavity.

Video 8.9 Pneumothorax. This video shows the lung point sign demarcating the penumothorax.

Video 8.10 Pleural effusion.

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Ferrada, P. (2015). Clinical Applications of Ultrasound Skills. In: Ferrada, P. (eds) Ultrasonography in the ICU. Springer, Cham. https://doi.org/10.1007/978-3-319-11876-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-11876-5_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-11875-8

  • Online ISBN: 978-3-319-11876-5

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