Accuracy of Cardiac Function and Volume Status Estimates Using the Bedside Echocardiographic Assessment in Trauma/Critical Care

• DOI: 10.1097/ta.0b013e3181825bc5
• Publication Date: 2008-09-04T12:29:44Z
• Authors: Mark Gunst; Vafa Ghaemmaghami; Jason Sperry; Melissa Robinson; Terence O’Keeffe; Randall Friese; Heidi Frankel
• Keywords: Preload; Intravascular volume status; Pulmonary artery catheter

Background: Critically ill patients often require invasive monitoring to evaluate and optimize cardiac function preload. With questionable outcomes associated with pulmonary artery catheters (PACs), some have evaluated the role of less monitors. We hypothesized that Bedside Echocardiographic Assessment in Trauma (BEAT) examination would generate index (CI) central venous pressure (CVP) estimates correlate a PAC. Methods: BEAT was performed on all SICU PAC place. Prospective data included stroke volume inferior vena cava (IVC) diameter. The CI calculated correlated from Each then categorized as low, normal, or high. IVC diameter used estimate CVP. association between CVP using χ2. Results: Eighty-five examinations were performed, 57% trauma 37% general surgery patients. Fifty-nine percent 97% contained quality images. Of these, overall correlation coefficient 0.70 (p < 0.0001). When categorized, there significant = 0.021). There 0.031). Conclusion: Our show obtained provides noninvasive method evaluating status. echocardiography is teachable should become part future critical care curricula.