Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada.
Department of Anesthesia, Sinai Health Systems, University of Toronto, Toronto, ON, Canada.
Can J Anaesth. 2018 Apr;65(4):437-448. doi: 10.1007/s12630-017-1031-9. Epub 2017 Dec 11.
This narrative review summarizes the current knowledge on point-of-care ultrasound (POCUS) of gastric contents in order to inform an assessment of aspiration risk and guide anesthetic management at the bedside. An I-AIM framework (Indication, Acquisition, Interpretation, and Medical decision-making) is used to summarize and organize the content areas. This narrative review spans the breadth of the literature on pediatric and adult subjects as well as on special patient populations such as obstetric and severely obese individuals. Areas that need further investigation include the diagnostic accuracy of gastric POCUS from a Bayesian perspective and the impact of POCUS on patient outcomes, healthcare economics, and educational curricula.
本文综述了即时床旁超声（POCUS）在胃内容物评估方面的最新知识，旨在为临床评估误吸风险和指导麻醉管理提供依据。本文采用 I-AIM 框架（适应证、采集、解读和临床决策）对相关内容进行总结和组织。本文综述涵盖了儿科和成人患者以及特殊患者群体（如产科和重度肥胖患者）的文献，包括胃 POCUS 的诊断准确性和 POCUS 对患者结局、医疗经济学和教育课程的影响等方面。
