1573-403X/11 $58.00+.00 © 2011 Bentham Science Publishers Echocardiographic Hemodynamic Monitoring in the Critically Ill Patient

Abstract: Echocardiography has shown to be an essential diagnostic tool in the critically ill patient's assessment. In this scenario the initial fluid therapy, such as it is recommended in the actual clinical guidelines, not always provides the de-sired results and maintains a considerable incidence of cardiorrespiratory insufficiency. Echocardiography can council us on these patients ' clinical handling, not only the initial fluid therapy but also on the best-suited election of the vasoac-tive/inotropic treatment and the early detection of complications. It contributes as well to improving the etiological diag-nosis, allowing one to know the heart performance with more precision. The objective of this manuscript is to review the more important parameters that can assist the intensivist in theragnosis of hemodynamically unstable patients