Echocardiography is the CARDIAC OUTPUT MONITOR - CON
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ECHOCARDIOGRAPH Y IS THE CARDIAC OUTPUT CON-CASE Adrian WONG @avkwong
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Transcript of Echocardiography is the CARDIAC OUTPUT MONITOR - CON
Echocardiography is the CARDIAC OUTPUT MONITORCON-case
Adrian WONG @avkwong
Why do we want a cardiac output monitor?DiagnosisMonitoringTreatmentTO MAKE PATIENTS BETTER
The perfect monitorPreciseAccurateReproducibleContinuous
DIAGNOSTIC TOOL MONITORING TOOL
No haemodynamic monitoring technique can improve outcome by itself
We suggest that, when further hemodynamic assessment is needed, echocardiography is the preferred modality to initially evaluate the type of shock as opposed to more invasive technologies. Level 2; QoE moderate (B)
GARBAGE IN - GARBAGE OUT
MORE USELESS INFORMATION IS STILL USELESS INFORMATION
The average daythe average ICU
YOUR ICUDo you have an Echo machine?Are you Echo/US competent?Are all the doctors in your dept Echo/US competent?Are the nurses trained to follow the clinical protocols/pathways based on images?DO YOU LIVE ON THE ICU? DO YOU SLEEP?Do you use arterial lines?
ECHOCARDIOGRAPHY ON THE ICUVariable accessibilityVariable trainingNon-continuousDoesnt improve outcomeThere are alternatives
CONCLUSIONNo monitoring device improves outcome without being paired to appropriate treatmentA good diagnostic tool monitoring deviceMore useless information is still useless informationThe best cardiac output monitor is the one that is right for YOUR unit and YOUR team
A fool with a Echo tool is a dangerous fool
THE WONG WAY OR THE WRONG WAY
