Guarracino Fabio, Bertini Pietro
(a)Department of Anaesthesia and Critical Care Medicine, Azienda Ospedaliero Universitaria Pisana bDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.
Curr Opin Crit Care. 2014 Aug;20(4):431-7. doi: 10.1097/MCC.0000000000000111.
This review analyses the application of perioperative echocardiography as an important tool in the management of haemodynamic impairment.
Recently, echocardiography has demonstrated utility in preoperative assessment for both cardiac and noncardiac surgery. There is also evidence that, using diagnostic methods, echocardiography could be used as an image-based technique comparable with standard catheter-based monitoring techniques in high-risk patients. Echocardiography can be performed both intraoperatively and during the postoperative period in the ICU and is therefore being considered a potential tool to assess haemodynamic instability.
Echocardiography has recently gained popularity among anaesthesiologists and intensive care practitioners because it provides a pathophysiological picture of haemodynamic impairment, allowing a more detailed understanding of the static or dynamic parameters on which clinicians usually rely when making decisions.
本综述分析围手术期超声心动图作为血流动力学障碍管理重要工具的应用。
最近，超声心动图已证明在心脏和非心脏手术的术前评估中具有实用性。也有证据表明，通过诊断方法，超声心动图可作为一种基于图像的技术，在高危患者中与基于导管的标准监测技术相媲美。超声心动图可在术中及术后重症监护病房期间进行，因此被视为评估血流动力学不稳定的潜在工具。
超声心动图最近在麻醉医生和重症监护从业者中受到欢迎，因为它提供了血流动力学障碍的病理生理图像，使人们能够更详细地了解临床医生在做决策时通常所依赖的静态或动态参数。
