Advances in the application of point-of-care ultrasound for cardiogenic shock management
10.3969/j.issn.1008-9691.2025.02.024
- VernacularTitle:床旁即时超声在心源性休克患者诊疗中的应用进展
- Author:
Ning ZHU
1
;
Ying LIU
Author Information
1. 贵州医科大学临床医学院,贵州 贵阳 550004
- Publication Type:Journal Article
- Keywords:
Point-of-care ultrasound;
Cardiogenic shock;
Hemodynamics;
Extracorporeal membrane oxygenation
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(2):242-245
- CountryChina
- Language:Chinese
-
Abstract:
Cardiogenic shock is a clinical syndrome with high mortality resulting from cardiac pump failure.Common etiologies include acute myocardial infarction,myocarditis,and valvular heart disease.The pathophysiology of cardiogenic shock involves reduced cardiac output,inadequate tissue perfusion,and multi-organ dysfunction.Accurate hemodynamic assessment is critical for the diagnosis and management of cardiogenic shock.Compared to traditional invasive monitoring techniques[the Swan-Ganz catheter or pulse indicator continuous cardiac output(PiCCO)monitoring],point-of-care ultrasound(POCUS)has emerged as a vital tool in intensive care due to its advantages of real-time visualization,non-invasiveness,and dynamic monitoring.Protocolized application of POCUS optimizes precision therapy in cardiogenic shock;however,technical limitations necessitate multimodal parameter assessment to guide clinical decision-making.This review focuses on the application of POCUS in the systematic evaluation of cardiogenic shock,including etiological screening,assessment of volume status,right and left ventricular function,pulmonary status,organ perfusion,and venous congestion,and its critical role in the management of veno-arterial extracorporeal membrane oxygenation(VA-ECMO).
