Lakhin R E
Anesteziol Reanimatol. 2016 Jul;61(4):263-265.
Despite the fact that there is a wealth of experience of using ultrasound in medicine, its application in anesthesiology and critical care began relatively recently Ultrasound navigation can improve the quality of the invasive procedures. There were developed special protocols for critically ill patients, which helps to obtain the diagnosis at the bedside. Therefore all the world's leading societies and associations recommend to include the training of ultrasound technology in the education program for anesthesiologists and intensive care specialists. Society for Ultrasound in Anaesthesia recommended to acquire six competencies: ultrasound monitoring of the respiratory tract in anesthesiology and critical care medicine; ultrasound monitoring of the pleura and the lungs; focused echocardiography and intraoperative monitoring; catheterization of blood vessels under the control of ultrasound; ultrasound monitoring ofcritically ill patients; ultrasound navigation for regional anesthesia. Resident physician should have skills for ultrasound assistance during catheterization central veins and for ultrasound monitoring in critical ill patients to the extent of FAST protocol (level ofpractical skill "to be able'). Other topics should being studied at the level "to know". It is reasonable to hone practical skills on these competences as part ofpostgraduate continuing education program to the extent that is needed for specialist at his workplace.
尽管在医学领域使用超声已有丰富经验，但其在麻醉学和重症监护中的应用相对较新。超声引导可提高侵入性操作的质量。针对重症患者制定了特殊方案，有助于在床边进行诊断。因此，全球所有主要学会和协会都建议将超声技术培训纳入麻醉医生和重症监护专家的教育计划中。麻醉超声学会建议掌握六项技能：麻醉学和重症医学中呼吸道的超声监测；胸膜和肺部的超声监测；聚焦超声心动图和术中监测；超声引导下血管插管；重症患者的超声监测；区域麻醉的超声引导。住院医师应具备在中心静脉插管期间进行超声辅助以及在重症患者中按照FAST方案进行超声监测的技能（实际技能水平为“能够”）。其他主题应达到“了解”水平。作为研究生继续教育计划的一部分，根据专科医生在工作场所的需要，磨练这些技能的实际操作能力是合理的。
