Badri Prasad Das
Banaras Hindu University, India
Title: Echo for Intensivists: When to see, What to see, How to see?
Biography
Biography: Badri Prasad Das
Abstract
It is not uncommon to have surprises in ICU. Any patient who is shocked in ICU and not responding to standard therapy mandates
an echo urgently. A signifi cant decrease in the use of the pulmonary artery catheter aft er several negative trials have led to the search for an alternate non-invasive modality. There has been an accumulation of clinical evidence documenting
the additional value of echocardiography compared to traditional invasive hemodynamic assessment. Transthoracic
echocardiography done for critically ill patients is diff erent from that for outdoor patients visiting cardiologists. Th ere are
multifaceted reasons for it. Th e critically ill patents are supine, sedated and oft en ventilated and interpretation has to be done
in presence of positive pressure ventilation, inotropes, variable loading conditions and diff erent CO2 tensions. Hence, the
intensivists working in ICU should be confi dent about every aspect of echo: “When to see, What to see, How to see”. In this ppt
based/hands-on workshop, for around 30 -40 min, emphasis will be given to goal directed, quick and focused studies to assess
left ventricular systolic and diastolic function, diagnosis of right sided failure, pulmonary artery pressure (PAP), to assess if
heart is full or empty, cardiac tamponade in trauma, regional wall motion abnormalities (RWMA).