Extracardiac Signs of Fluid Overload in the Critically III Cardiac Patient: A Focused Evaluation Using Bedside Ultrasound

作者：Beaubien Souligny William; Bouchard Josee; Desjardins Georges; Lamarche Yoan; Liszkowski Mark; Robillard Pierre; Denault Andre^*

来源：Canadian Journal of Cardiology, 2017, 33(1): 88-100.

DOI：10.1016/j.cjca.2016.08.012

Fluid balance management is of great importance in the critically ill cardiac patient. Although intravenous fluids are a cornerstone therapy in the management of unstable patients, excessive administration coupled with cardiac dysfunction leads to elevation in central venous pressure and end-organ venous congestion. Fluid overload is known to have a detrimental effect on organ function and is responsible for significant morbidity in critically ill patients. Multisystem bedside point of care ultrasound imaging can be used to assess signs of fluid overload and venous congestion in critically ill patients. In this review we describe the ultrasonographic extracardiac signs of fluid overload and how they can be used to complement clinical evaluation to individualize patient management.

• 出版日期2017-1