FALLS protocol: Difference between revisions
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Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref> | ==Background== | ||
*Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref> | |||
*The FALLS-protocol is an ultrasound evaluation based protocol for the assessment of patients with acute circulatory failure. | |||
The FALLS-protocol is an ultrasound evaluation based protocol for the assessment of patients with acute circulatory failure. | **It relies on the evaluation of the pleura, lungs and pericardium using ultrasound to in a step wise fashion try to define which type of circulatory shock is present (according to Weil's shock classification). | ||
It relies on the evaluation of the pleura, lungs and pericardium using ultrasound to in a step wise fashion try to define which type of circulatory shock is present (according to Weil's shock classification). | |||
==FALLS-Protocol<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref>== | ==FALLS-Protocol<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref>== | ||
Revision as of 14:27, 20 March 2014
Background
- Based on a review article[1] by David Lichtenstein[2]
- The FALLS-protocol is an ultrasound evaluation based protocol for the assessment of patients with acute circulatory failure.
- It relies on the evaluation of the pleura, lungs and pericardium using ultrasound to in a step wise fashion try to define which type of circulatory shock is present (according to Weil's shock classification).
FALLS-Protocol[3]
Endpoints
Administration of iv fluid until clinical improvement or development of a B-profile.
On which patients to use
A shocked patient with an A-profile - called a FALLS-responder.
Limitations
No value in patients presenting with B-profile - no endpoint can be defined. Cardiogenic shock with no lung edema - e.g. right ventricular infarction - are associated with an A-profile.