DOI: https://doi.org/10.14710/jai.v0i0.43150

Peran Ekokardiografi dalam Intensive Care Unit

1SMF Kardiologi dan Kedokteran Vaskuler, Rumah Sakit Pusat Pertamina Jakarta, Indonesia

2Fakultas Kedokteran, Universitas Muhammadiyah Prof Dr Hamka Tangerang Banten, Indonesia

3Fakultas Kedokteran, Universitas Sebelas Maret Surakarta, Indonesia

Published: 31 Jul 2022.
Open Access Copyright 2021 JAI (Jurnal Anestesiologi Indonesia)

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Abstract

Critical care echocardiography (CCE) adalah alat pencitraan non-invasif samping tempat tidur yang dapat memberikan manfaat pada perawatan intensif karena portabilitas, ketersediaan luas, dan kemampuan diagnostik yang cepat. Dokter yang telah mendapatkan pelatihan dasar ekokardiografi, baik dokter unit perawatan intensif atau unit gawat darurat, dapat menilai fungsi ventrikel kiri dengan akurasi yang baik. CCE dapat digunakan untuk mengevaluasi fungsi jantung karena dapat mengenali kelainan dinding regional secara instan. Pengenalan cepat seperti ini dapat mendorong kecepatan intervensi yang berpotensi mengurangi angka kematian. Pasien dengan kelainan pada ekokardiografi memiliki kecenderungan gangguan yang signifikan dalam kelangsungan hidup di ICU. Ekokardiografi transtorakal dan transesofageal adalah pemeriksaan penting di unit perawatan intensif (ICU). Alat ini dapat digunakan untuk mendiagnosis patologi jantung akut dan menilai status hemodinamik. Tinjauan pustaka ini bertujuan untuk menyoroti peran penting CCE dalam pengambilan keputusan klinis.

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Keywords: diagnosis; ekokardiografi; perawatan kritis; perawatan intensif; monitoring

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Section: Literature Reviews
Language : ID
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  1. Vignon P. Critical care echocardiography: diagnostic or prognostic? Ann Transl Med 2020; 8: 909
  2. Soliman-Aboumarie H, Pastore MC, Galiatsou E, Gargani L, Pugliese NR, Mandoli GE. Echocardiography in the intensive care unit: An essential tool for diagnosis, monitoring and guiding clinical decision-making. Imaging. Epub ahead of print 5 November 2021. DOI: 10.1556/1647.2021.00055
  3. Salik JR, Sen S, Picard MH, Weiner RB, Dudzinski DM. The application of appropriate use criteria for transthoracic echocardiography in a cardiac intensive care unit. Echocardiography. 2019; 36: 631–638
  4. Pastore MC, Mandoli GE, Aboumarie HS, et al. Basic and advanced echocardiography in advanced heart failure: an overview. Heart Fail Rev 2020; 25: 937–948
  5. Lancellotti P, Price S, Edvardsen T, Cosyns B, Neskovic AN, Dulgheru R, et al. The use of echocardiography in acute cardiovascular care: recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association. Eur Heart J Acute Cardiovasc Care 2015; 4: 3–5
  6. Rajsic S, Breitkopf R, Bachler M, Trem B. Diagnostic Modalities in Critical Care: Point-of-Care Approach. Diagnostics (Basel) 2021; 11: 2202
  7. Pérez-Casares A, Cesar S, Brunet-Garcia L, Sanchez-de-Toledo J. Echocardiographic Evaluation of Pericardial Effusion and Cardiac Tamponade. Front Pediatr 2017; 5: 79
  8. Chuzi S, Rangarajan V, Jafari L, Vaitenas I, Akhter N. Subcostal View-Based Longitudinal Strain in Patients with Breast Cancer Is an Alternative to Conventional Apical View-Based Longitudinal Strain. J Am Soc Echocardiogr 2019; 32: 514-520.e1
  9. Longobardo L, Zito C, Carerj S, Caracciolo G, K Khandheria B. Role of Echocardiography in the Intensive Care Unit: Overview of the Most Common Clinical Scenarios. J Patient Cent Res Rev 2018; 5: 239–243
  10. Makhija N, Magoon R, Balakrishnan I, Das S, Malik V, Gharde P. Left Ventricular Outflow Tract Obstruction Following Aortic Valve Replacement: A Review of Risk Factors, Mechanism, and Management. Ann Card Anaesth 2019; 22: 1–5
  11. Burk RE, Beesley SJ, Grissom CK, Hirshberg EL, Lanspa MJ, Brown SM. Echocardiography in the Intensive Care Unit. Curr Cardiovasc Imaging Rep 2017; 10: 39
  12. Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010; 23: 685–713; quiz 786–788
  13. Hassan AKM, Ahmed H, Ahmed Y, Elfadl AA, Omar A. Efficacy and safety of hydro-mechanical defragmentation in intermediate- and high-risk pulmonary embolism. Egypt Heart J 2021; 73: 84
  14. Franchi F, Vetrugno L, Scolletta S. Echocardiography to guide fluid therapy in critically ill patients: check the heart and take a quick look at the lungs. J Thorac Dis 2017; 9: 477–481
  15. Porpáczy A, Nógrádi Á, Vértes V, Füzesi MT, Czirjáket L, Komócsi A, Faludi R. Left atrial stiffness is superior to volume and strain parameters in predicting elevated NT-proBNP levels in systemic sclerosis patients. Int J Cardiovasc Imaging 2019; 35: 1795–1802
  16. Mercado P, Maizel J, Beyls C, Beauport DT, Joris M, Kontar L, et al. Transthoracic echocardiography: an accurate and precise method for estimating cardiac output in the critically ill patient. Crit Care 2017; 21: 136
  17. Rusinaru D, Bohbot Y, Djelaili F, Delpierre Q, Altes A, Serbout S, et al. Normative Reference Values of Cardiac Output by Pulsed-Wave Doppler Echocardiography in Adults. Am J Cardiol 2021; 140: 128–133
  18. Tan C, Rubenson D, Srivastava A, Mohan R, Smith MR, Billick K, et al. Left ventricular outflow tract velocity time integral outperforms ejection fraction and Doppler-derived cardiac output for predicting outcomes in a select advanced heart failure cohort. Cardiovasc Ultrasound 2017; 15: 18
  19. Via G, Tavazzi G, Price S. Ten situations where inferior vena cava ultrasound may fail to accurately predict fluid responsiveness: a physiologically based point of view. Intensive Care Med 2016; 42: 1164–1167
  20. Aboelnile DBMK, Elseidy MIA, Kenawey YAEM, Elsherif IMAA. Prediction of fluid responsiveness in mechanically ventilated patients in surgical intensive care unit by pleth variability index and inferior vena cava diameter. Ain-Shams J Anesthesiol 2020; 12: 48
  21. Bubenek-Turconi Ş-I, Hendy A, Băilă S, Drăgan A, Chioncel O, Văleanu L, et al. The value of a superior vena cava collapsibility index measured with a miniaturized transoesophageal monoplane continuous echocardiography probe to predict fluid responsiveness compared to stroke volume variations in open major vascular surgery: a prospective cohort study. J Clin Monit Comput 2020; 34: 491–499

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