(1490053) Be FOCUSED: Ultrasound Support for Resuscitation of Patients With Sepsis and Septic Shock

Monday, January 22, 2024

9:45 AM – 11:45 AM MT

Location: North-121

Concurrent Session Moderator(s)

Amita Avadhani, PhD, DNP, ACNP, CCR (she/her/hers)

Professor, Department Chair (Nursing) Temple University College of Public Health
n/a
Kendall Park, NJ
Aliaksei Pustavoitau, MD, FCCM

Associate Professor, ACCM, JHU, SOM
Johns Hopkins University School of Medicine
Baltimore, MD

Disclosure(s):

Amita Avadhani, PhD, DNP, ACNP, CCR: No relevant financial relationship(s) to disclose.

Aliaksei Pustavoitau, MD, MHS, FCCM: CoapTech: Other Financial or Material Support (Ongoing)

Early categorization of the cardiovascular phenotypes with echocardiography can be crucial for timely diagnosis and targeted therapy of patients with septic shock. In the past few years, markers of volume status and volume responsiveness have been investigated, serving as valuable tools for targeting volume therapy in the care of both spontaneously breathing and mechanically ventilated patients. In tandem, investigators have highlighted findings of extravascular volume with ultrasonographic evaluation to complement the de-escalation of resuscitation efforts when appropriate. Special attention is also paid to resuscitation efforts of patients in septic shock with chronic cardiac disease and right ventricular failure.

Learning Objectives:

Analyze the complex hemodynamic derangements of patients with sepsis and septic shock, described by unique phenotypes
Apply point-of-care ultrasound to differentiate between distinct hemodynamic phenotypes in septic shock through qualitative assessment of information from the subcostal four-chamber view, subcostal inferior vena cava view, and upper lung views
Implement targeted management based on the patient’s myocardial performance, fluid responsiveness, and tolerance in shock
Recognize how serial ultrasonography with qualitative and quantitative assessments can play a role in assessing volume responsiveness in patients with left and right ventricular failure
Evaluate patients for fluid tolerance by assessing extravascular volume or congestion to supplement a targeted approach to volume resuscitation in shock