Lee Allison
Department of Anesthesiology, Columbia University, 630 West 168th St PH5, New York, NY 10032.
Semin Perinatol. 2014 Oct;38(6):349-58. doi: 10.1053/j.semperi.2014.07.006. Epub 2014 Aug 23.
Ultrasound has permeated the practice of anesthesiology and is becoming an essential tool for the obstetric anesthesiologist in the labor and delivery suite. The most common applications include guidance for neuraxial (epidural and spinal) anesthesia and acute pain nerve blocks, as well as guidance for central and peripheral vascular access. Obstetric anesthesiologists are becoming increasingly familiar with diagnostic applications, including transthoracic echocardiography (TTE) and lung and gastric ultrasound. There is intense interest in developing standard curricula for achieving competency in ultrasound skills during residency training and expanding the role of ultrasound in education and research.
超声已渗透到麻醉学实践中,并正成为产科麻醉医生在分娩室必不可少的工具。最常见的应用包括神经轴(硬膜外和脊髓)麻醉及急性疼痛神经阻滞的引导,以及中心和外周血管穿刺的引导。产科麻醉医生对诊断性应用越来越熟悉,包括经胸超声心动图(TTE)以及肺部和胃部超声。人们对制定标准课程以在住院医师培训期间实现超声技能的胜任能力,以及扩大超声在教育和研究中的作用有着浓厚兴趣。