Application of thoracic ultrasonography for acute cor pulmonale patients in acute respiratory distress syndrome
10.3760/cma.j.issn.2095-4352.2016.06.021
- VernacularTitle:超声在急性呼吸窘迫综合征合并急性肺源性心脏病诊断和治疗中的应用
- Author:
Ting YUAN
;
Shanglong YAO
;
You SHANG
- Publication Type:Journal Article
- Keywords:
Acute respiratory distress syndrome;
Acute cor pulmonale;
Protective lung ventilation;
Lung ultrasound;
Echocardiography combined with lung ultrasound
- From:
Chinese Critical Care Medicine
2016;28(6):573-576
- CountryChina
- Language:Chinese
-
Abstract:
Acute respiratory distress syndrome (ARDS) patients experiencing protective mechanical ventilation, is associated with a marked mortality reduction. However, the incidence of acute cor pulmonale (ACP) in ARDS patients has recently been reported to range between 22% and 25%, as well as a trend for higher mortality. Therefore, the mechanical ventilation strategy is proposed, not only based on the protection of the lung, but also focused on the impact on the right ventricle function. Currently, point-of-care ultrasound has been widely practiced in a variety of clinical setting, which plays more and more important role in the early detection and management of ARDS and its complications. A retrospective study concerning the incidence, pathophysiology and risk factors for ACP patients in ARDS was done to analysis the application of lung ultrasound and echocardiography combined with lung ultrasound in clinical hemodynamics monitoring, and so as to optimize the ventilation setting to protect the function of lung and right ventricle. Further exploration of effective improvement of the pulmonary vascular and right ventricle function the goal-directed ultrasound approach, and the diagnosis and treatment flow is expected.
