CHEST 2023 On Demand Pass-A Systematic Approach to Undifferentiated Shock: From POCUS to PACs!

Video Transcription

Video Summary

In this video, the speaker discusses the use of minimally invasive or non-invasive cardiac output monitors to diagnose shock. The speaker highlights the goal of these monitors, which is to diagnose the type of shock a patient has and help guide appropriate interventions. They also explain the importance of accuracy and preciseness in these devices, referring to terms like bias, limit of agreement, and percent error. The speaker goes on to discuss different non-invasive methods like finger cuff plethysmography, bio-reactants, and bio-impedance, and pulse contour analysis. They explain how these devices work and provide examples of studies that have evaluated their accuracy. The speaker also discusses the use of point-of-care ultrasound in diagnosing shock and how it can help differentiate between different types of shock. They emphasize the importance of early recognition of shock and utilizing ultrasound as a non-invasive tool at the bedside. The speaker also briefly discusses the use of invasive methods like arterial lines, central venous access, and pulmonary artery catheters in monitoring and managing shock. They highlight the different information that can be obtained from each of these invasive devices. The speaker concludes by advising the audience to use the device that answers their specific question and to make use of all the information available on the screen. They also highlight the importance of timely diagnosis of shock and the potential benefits of invasive methods in certain cases.

Meta Tag

Category Critical Care

Session ID 1069

Speaker Casey Cable

Speaker Siddharth Dugar

Speaker Maxwell Hockstein

Speaker Matthew Siuba

Track Critical Care

Keywords

minimally invasive cardiac output monitors

non-invasive cardiac output monitors

diagnosing shock

accuracy and preciseness

non-invasive methods

point-of-care ultrasound

invasive methods