Subjective right ventricle assessment by echo qualified intensive care specialists: assessing agreement with objective measures.

ABSTRACT:

Background

Right ventricle (RV) size and function assessment by echocardiography (echo) is a standard tool in the ICU. Frequently subjective assessment is performed, and guidelines suggest its utility in adequately trained clinicians. We aimed to compare subjective (visual) assessment of RV size and function by ICU physicians, with advanced qualifications in echocardiography, vs objective measurements.

Methods

ICU specialists with a qualification in advanced echocardiography reviewed 2D echo clips from critically ill patients on mechanical ventilation with PaO₂:FiO₂ < 300. Subjective assessments of RV size and function were made independently using a three-class categorical scale. Agreement (B-score) and bias (p value) were analysed using objective echo

SUBMITTER: Orde S 

PROVIDER: S-EPMC6407213 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature