Schreiber Michael, Greim Clemens-Alexander
Anasthesiol Intensivmed Notfallmed Schmerzther. 2019 Feb;54(2):128-141. doi: 10.1055/a-0585-5237. Epub 2019 Feb 15.
The rising impact of perioperative sonography is mainly based on mobile high quality ultrasound systems. Relevant bleedings or functional limitations of the abdomen are easy to identify with sonography. The FAST-Concept can be the first access to continue proceedings in ultrasound examination of the abdomen. This paper demonstrates some important ultrasound examinations of the abdomen. The clinical main issues are traumatic and atraumatic bleedings of heart, liver and spleen with haemodynamic instability and functional limitations of abdominal organs like bile cystitis, gastrointestinal passage disability and obstructive uropathy. Just outside of the normal working time the ultrasound experts are often not promptly available. The demonstrated techniques allow in acute medicine to make a diagnosis and to decide fast in critical situations. Perspective in view of the many benefits and possibilities, point-of-care ultrasound will be a high-ranking skill in the field of anaesthesia, emergency medicine or intensive care.
围手术期超声检查影响日增，主要得益于便携式高质量超声系统。通过超声检查，腹部相关出血情况或功能受限状况易于识别。“FAST概念”可作为腹部超声检查后续流程的首要切入点。本文展示了一些重要的腹部超声检查。临床主要问题包括伴有血流动力学不稳定的心脏、肝脏和脾脏创伤性及非创伤性出血，以及诸如胆囊炎、胃肠道梗阻和梗阻性尿路病等腹部器官功能受限。在正常工作时间之外，超声专家往往无法及时到位。所展示的技术能够在急诊医学中实现诊断，并在危急情况下迅速做出决策。鉴于其诸多益处和可能性，床旁超声检查将成为麻醉、急诊医学或重症监护领域的一项高级技能。
