Should I Echo Patients With Temporary Circulatory Devices? A Primer for any POCUS Practitioner

Concurrent Session Moderator(s)

• CV

  Carla Venegas, MD

  Consultant Critical Care Medicine
  Mayo Clinic Hospital in Florida
  Jacksonville, Florida

  No relevant financial relationship(s) to disclose

The incidence of cardiogenic shock is increasing. To improve outcomes, clinicians are increasingly turning to percutaneous left and right mechanical circulatory support devices. The widespread availability of these devices and a multidisciplinary approach that combines the expertise of cardiologists, heart failure specialists, cardiac surgeons, and critical care specialists may help pair the right patient with the right device at the right time. Echocardiography is essential in all advanced hemodynamic support stages in the adult and pediatric ICU. This session will describe the most relevant echocardiographic features in the initial assessment, continuous monitoring, and recognition of complications that the critical care team can face at any time with commercially available devices—venoarterial extracorporeal membrane oxygenation, intra-aortic balloon pump counterpulsation, various heart pump system models, and percutaneous left ventricular devices in adult and pediatric patients with shock. Experts will provide the most practical didactics for immediate clinical practice application.

Presentations:

• Is POCUS as Reliable as Formal Echocardiography in Screening for Shock in Patients Requiring Temporary Mechanical Circulatory Support?
  

  Concurrent Session Faculty: Jose L. Diaz-Gomez, MD, FASE,FCCM – Baylor Saint Luke's Medical Center
• Point-of-Care Echocardiography in Right-Sided Temporary Mechanical Circulatory Support
  

  Concurrent Session Faculty: Raymond Stainback, MD, MD – Baylor College of Medicine
• POCUS for Heart Pumps
  

  Concurrent Session Faculty: Sheela Pai Cole, MD, FASE FASA – Stanford University Medical Center
• Point-of-Care Echocardiography in Pediatric Patients Requiring Mechanical Circulatory Support: Lessons Learned From the Adult Population
  

  Concurrent Session Faculty: Erik Su, MD – Baylor College of Medicine at Texas Children's Hospital
• Point-of-Care Ultrasound: Temporary Mechanical Support Devices
  

  Concurrent Session Faculty: Sara Nikravan, MD, FASE – University of Washington