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Updated: Jun 14, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
The role of echocardiography in hemodynamic assessment of septic shock
Matthew J Griffee1, Matthias J Merkel, Kevin S Wei
1Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Mailstop UHS-2, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. griffeem@ohsu.edu
Abstract:
Echocardiography is a rapid, noninvasive, comprehensive cardiac assessment option for patients presenting with hemodynamic instability. In patients with septic shock, echocardiography can be used to guide fluid therapy by measuring collapsibility of the inferior vena cava. Sepsis-induced myocardial dysfunction can be diagnosed, and responses to therapy can be monitored with echo. Patients with persistent shock should be evaluated for right heart failure, dynamic left ventricular obstruction, or tamponade if they do not respond to resuscitation and norepinephrine. Unexpected or rare findings that affect management may be revealed using focused echocardiography. This article presents national and international competency statements regarding critical care echocardiography and training resources for intensivists.
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