Key result
Bedside ultrasound is increasingly central to the diagnosis and resuscitation of undifferentiated hypotension, with evidence supporting its integration into daily clinical practice.
This review outlines an evidence-based framework for integrating bedside ultrasound into the routine assessment and resuscitation of patients with undifferentiated shock.
Supports ultrasound framework in undifferentiated shock; leaves open need for prospective outcome trials before routine adoption.
Undifferentiated hypotension remains a central diagnostic and therapeutic challenge in emergency and critical care medicine. Increasingly, bedside ultrasound conducted by intensivists and emergency medicine providers is assuming a central role in diagnosis and resuscitation of hypotension. This review discusses sample algorithms for the bedside ultrasonographic assessment of undifferentiated shock and outlines an evidence-based framework for the intensivist seeking to incorporate bedside ultrasound into daily clinical practice. The literature regarding specific applications including cardiac, thoracic, pulmonary, and vascular assessment is briefly reviewed, as is the evidence pertaining to effective implementation, training, credentialing, and ongoing quality assurance.
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Elmer et al. (2010) conducted a review in Undifferentiated shock and hypotension. Bedside ultrasound was evaluated. Bedside ultrasound is increasingly central to the diagnosis and resuscitation of undifferentiated hypotension, with evidence supporting its integration into daily clinical practice.
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