Section of Interventional Pulmonology, Division of Pulmonary, Critical Care and Sleep Medicine, Ohio State University Wexner Medical Center, 201 DHLRI, 473 West 12th Avenue, Columbus, OH 43210, USA.
Cancer Treatment Centers of America, Southeastern Regional Medical Center, 600 Celebrate Life Parkway, Newnan, GA 30265, USA.
Clin Chest Med. 2018 Mar;39(1):79-97. doi: 10.1016/j.ccm.2017.11.005.
Spreading beyond the realm of tertiary academic medical centers, point-of-care ultrasound in the intensive care unit is an important diagnostic tool. The real-time feedback garnered can lead to critical and clinically relevant changes in management and decrease potential complications. Bedside ultrasound evaluation in the intensive care setting with a small, portable equipment is well-suited for placement of central lines, lumbar puncture, thoracentesis or other bedside ICU procedures and in the evaluation of cardiac activity, pleural and abdominal cavity and the overall fluid volume. Formalized curriculums centering on point-of-care ultrasound are emerging that will enhance its applicability and relevance.
除了在 tertiary academic medical centers（三级学术医疗中心）应用外，床边即时超声检查在重症监护病房也是一种重要的诊断工具。它能实时反馈信息，有助于对患者的管理进行关键性的、有临床意义的改变，减少潜在的并发症。使用小巧便携的设备进行床边重症监护超声检查，非常适合中心静脉置管、腰椎穿刺、胸腔穿刺或其他床边 ICU 操作，也适用于评估心脏活动、胸膜和腹腔以及总体液体量。以即时超声为中心的规范化课程正在出现，这将提高其适用性和相关性。
