Arntfield Robert T, Millington Scott J
Division of Critical Care and Division of Emergency Medicine, Western University, 800 Commissioners Rd East, London, Ontario, Canada, N6A 5W9.
Curr Cardiol Rev. 2012 May;8(2):98-108. doi: 10.2174/157340312801784952.
The use of point of care echocardiography by non-cardiologist in acute care settings such as the emergency department (ED) or the intensive care unit (ICU) is very common. Unlike diagnostic echocardiography, the scope of such point of care exams is often restricted to address the clinical questions raised by the patient's differential diagnosis or chief complaint in order to inform immediate management decisions. In this article, an overview of the most common applications of this focused echocardiography in the ED and ICU is provided. This includes but is not limited to the evaluation of patients experiencing hypotension, cardiac arrest, cardiac trauma, chest pain and patients after cardiac surgery.
在急诊科(ED)或重症监护病房(ICU)等急性护理环境中,非心脏病专家使用床旁超声心动图的情况非常普遍。与诊断性超声心动图不同,此类床旁检查的范围通常限于解决患者鉴别诊断或主要诉求所引发的临床问题,以便为即时管理决策提供依据。本文概述了这种聚焦超声心动图在急诊科和重症监护病房最常见的应用。这包括但不限于对低血压、心脏骤停、心脏创伤、胸痛患者以及心脏手术后患者的评估。