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Boyd JH et al. - Intensivists can safely and accurately perform goal-oriented echocardiography. Although not yet proven to influence clinical outcome, the authors suggest that the major utility of echocardiography is for those with distributive or mixed shock in whom target central venous pressure has been achieved without evidence of adequate tissue perfusion. In this subset of patients, echocardiography can aid in selecting those most likely to benefit from further fluid or inotropic support.

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