Rolle der Echokardiografie bei Notfällen und hämodynamischer Instabilität

Die transthorakale (TTE) und die transösophageale (TEE) Echokardiografie sind bei Notfällen etabliert – Verdachtsdiagnosen können bestätigt und die meisten Ursachen einer hämodynamischen Instabilität erkannt werden. Dieser Beitrag stellt die „fokussierten“ Untersuchungsabläufe der TTE und TEE vor: Sie erfassen die wesentlichen Befunde bei hämodynamisch instabilen Patienten im Notfall und beeinflussen so maßgeblich die Therapieentscheidungen.

Abstract

Echocardiography is an imaging method in anaesthesia and intensive care medicine which adds a new dimension to hemodynamic monitoring: the direct visualization of the cardiac function and its disruptions. The review article shows the advantages and limitations of recent transthoracic (TTE) and transesophageal (TEE) echocardiography in the diagnostic course of hemodynamic instability. For TTE and TEE focused examination techniques and sequences are illustrated with regards to their fast applicability to hemodynamic monitoring.

Schlüsselwörter

Notfallechokardiografie - fokussierte Echokardiografie - transthorakale Echokardiografie - transösophageale Echokardiografie - hämodynamische Instabilität

Keywords

emergency echocardiography - focussed cardiac ultrasound - transthoracic echocardiography - hemodynamic instability - transesophageal echocardiography

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