Synopsis of the point-of-care ultrasound assessment for perioperative emergencies

被引:0
|
作者
Chen, Robert [1 ]
机构
[1] Univ Ottawa, Div Cardiac Anesthesiol, Dept Anesthesiol & Pain Med, 40 Rue Ruskin St, Ottawa, ON K1Y 4W7, Canada
关键词
HAND-HELD ULTRASOUND; HEMODYNAMIC INSTABILITY; ULTRASONOGRAPHY; ECHOCARDIOGRAPHY; RECOMMENDATIONS; ASSOCIATION; SONOGRAPHY; PHYSICIANS; PRESSURE; MEDICINE;
D O I
10.1007/s12630-019-01303-0
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This module will introduce the concept of a point-of-care ultrasound (POCUS) examination for perioperative clinicians. A focused cardiac examination of ventricular filling and function is presented. An examination of the inferior vena cava is also reviewed as a tool to assess volume status. Finally, a brief examination of the lung and pleura is explored to aid the clinician in situations of patient hypoxia and difficult ventilation. Limited ultrasound cardiorespiratory examinations can be performed by non-cardiologists and non-radiologists. Information drawn from POCUS may aid in diagnosis and early rescue in perioperative care. Point-of-care ultrasound is likely to become standard of care for anesthesiologists in the same way that stethoscopy is presently. ResumeCe module introduira le concept d'examen echographique au point d'intervention (POCUS) pour les cliniciens charges des soins perioperatoires. Nous presentons un examen cardiaque oriente sur le remplissage et la fonction ventriculaires. L'examen de la veine cave inferieure est egalement aborde comme outil d'evaluation de la volemie. Nous explorerons pour terminer un bref examen des poumons et des plevres pour aider le clinicien confronte a un patient hypoxique et dont la ventilation est difficile. Des examens cardiopulmonaires limites par echographie peuvent etre pratiques par des non-cardiologues et des non-radiologues. Les renseignements obtenus grace a une echographie POCUS peuvent contribuer au diagnostic et a un traitement rapide en soins perioperatoires. L'echographie au point d'intervention est susceptible de devenir la norme de soins pour les anesthesiologistes au meme titre que l'utilisation du stethoscope l'est actuellement.
引用
收藏
页码:448 / 460
页数:13
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