期刊
EXPERT REVIEW OF RESPIRATORY MEDICINE
卷 6, 期 2, 页码 155-162出版社
TAYLOR & FRANCIS LTD
DOI: 10.1586/ERS.12.13
关键词
acute circulatory failure; fluid responsiveness; hemodynamic assessment; lung ultrasound
Expert Rev. Respir. Med. 6(2), 155-162 (2012) The FALLS-protocol is included in a limited investigation to diagnose the cause of shock. After simple echocardiography has ruled out obstructive shock (tamponade, pulmonary embolism), the lung is investigated. Absence of disseminated lung rockets rules out cardiogenic shock. At this point, hypovolemic and septic shock are differential diagnoses (rarities apart), and the FALLS-protocol provides fluid therapy with constant monitoring of lung artifacts. Hypovolemic shock will eventually improve septic shock will not, and the slight excess fluid creates an early, silent stage of interstitial edema, demonstrated by B-lines, demanding interruption of fluid therapy. This sequential approach, combined with the usual, clinical, biochemical and echocardiographic parameters, must be evaluated in multicenter studies.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据