Ultrasound for critical care physicians: cardiogenic shock-this is not a drill

• Main Authors: Chaikalam R, Ahmed S
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2014-07-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: ultrasound; echocardiogram; echocardiography; Impella device; cardiogenic shock; extracoporeal membrane oxygenation; ECMO
• Online Access: http://www.swjpcc.com/critical-care/2014/7/4/ultrasound-for-critical-care-physicians-cardiogenic-shock-th.html

No abstract available. Article truncated at the end of the first page. A 45-year-old woman with no significant past history developed gradual onset of shortness of breath and cough over 1 week. She presented to the emergency department. Her initial chest x-ray showed an enlarged heart and bilateral pulmonary edema. The patient became progressively hypotensive and hypoxic and was intubated. Transthoracic echocardiography is shown below (Figure 1). What intra-cardiac device in the left ventricle is pictured on the image? 1. Amplatz closure device of atrial septal defect; 2. Extracorporeal membrane oxygenator (ECMO) cannula; 3. Impella device; 4. Intra-aortic balloon pump; 5. Pacemaker lead ...