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Vol. 48. Issue 2.
Pages 103-119 (February 2024)
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Vol. 48. Issue 2.
Pages 103-119 (February 2024)
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Ultrasound use after cardiac surgery
Ecografía en el postoperatorio de cirugía cardíaca
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3
Andrés Carrillo Lópeza,
Corresponding author
andrescarrillolopez@gmail.com

Corresponding author.
, Celina Llanos Jorgeb, Juan José Jiménez Riverab, Fernando Clau-Terrec
a Servicio de Medicina Intensiva, Hospital Universitario Miguel Servet, Zaragoza, Spain
b Servicio de Medicina Intensiva, Complejo Hospitalario Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain
c Servicio de Anestesia, Reanimación y Dolor, Hospital Universitario Vall d’Hebron, Barcelona, Spain
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Figures (19)
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Tables (5)
Table 1. Assessment of ventricular systolic function.
Table 2. Dynamic echocardiographic parameters of volume responsiveness.
Table 3. Doppler parameters of aortic, pulmonary, mitral, and tricuspid valve prosthetic function.
Table 4. Evaluation of Impella catheter placement.
Table 5. General considerations in the evaluation of the transplanted heart in the immediate postoperative period.
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Additional material (9)
Abstract

Surgical complexity as well as comorbidities in patients undergoing cardiac surgery is increasing. Early detection and management of post-surgical complications are key points to reduce morbidity and mortality. Ultrasound technique plays a main rol in cardiopulmonary, hemodynamic and etiological assessment of the critically ill, providing immediate, reliable and, sometimes, conclusive information, clarifying many clinical situations with an inappropiate therapeutic response. For all these reasons ultrasound is an essential diagnostic tool. In this chapter we will focus, mainly, on functional and hemodynamic assessment and on the detection of most common cardiological complications in the postoperative period after cardiac surgery.

Keywords:
Ultrasound
Cardiac surgery
Intensive care
Cardiac surgery complications
Abbreviations:
ASM
AT
CS
CO
CPO
DE
DLVOT
DVI
ECMO
EOA
ET
exp
FA
HPT
IABP
insp
IPO
LU
IVC
LV
LVEF
LVOT
MV
MV
Ø
PE
PH
PPM
PSV
RV
SPC
SV
TAPSE
TEE
TR
TTE
TV
VTI
Resumen

La complejidad de los procedimientos quirúrgicos, así como la comorbilidad de los pacientes sometidos a cirugía cardiaca va en aumento. La detección y tratamiento precoz de las complicaciones postquirúrgicas son parte del éxito en la reducción de la morbimortalidad. La introducción de la técnica ecográfica ha sido fundamental en la valoración cardiopulmonar, hemodinámica y etiológica del paciente crítico, aportando información inmediata, fiable y a veces concluyente, permitiendo aclarar muchas situaciones clínicas sin respuesta terapéutica aceptable. Tratándose de una herramienta diagnóstica esencial. En este capítulo nos centraremos, fundamentalmente, en la valoración funcional, hemodinámica y en la detección de las complicaciones cardiológicas más frecuentes en el postoperatorio de cirugía cardiaca.

Palabras clave:
Ecografía
Cirugía cardiaca
Cuidados intensivos
Complicaciones cirugía cardiaca

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