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围手术期紧急情况的即时超声评估概要。

Synopsis of the point-of-care ultrasound assessment for perioperative emergencies.

机构信息

Division of Cardiac Anesthesiology, Department of Anesthesiology and Pain Medicine, University of Ottawa, 40 Rue Ruskin St., Ottawa, ON, K1Y 4W7, Canada.

出版信息

Can J Anaesth. 2019 Apr;66(4):448-460. doi: 10.1007/s12630-019-01303-0. Epub 2019 Feb 19.

Abstract

This module will introduce the concept of a point-of-care ultrasound (POCUS) examination for perioperative clinicians. A focused cardiac examination of ventricular filling and function is presented. An examination of the inferior vena cava is also reviewed as a tool to assess volume status. Finally, a brief examination of the lung and pleura is explored to aid the clinician in situations of patient hypoxia and difficult ventilation. Limited ultrasound cardiorespiratory examinations can be performed by non-cardiologists and non-radiologists. Information drawn from POCUS may aid in diagnosis and early rescue in perioperative care. Point-of-care ultrasound is likely to become standard of care for anesthesiologists in the same way that stethoscopy is presently.

摘要

本模块将介绍围手术期临床医生进行床边超声检查(POCUS)的概念。介绍了重点心脏检查,包括心室充盈和功能。还回顾了下腔静脉检查,作为评估容量状态的工具。最后,简要探讨了肺部和胸膜检查,以帮助临床医生在患者缺氧和通气困难的情况下进行诊断。非心脏病专家和非放射科医生可以进行有限的超声心肺检查。从 POCUS 获得的信息可能有助于围手术期护理的诊断和早期抢救。POCUS 可能会像听诊器目前的情况一样,成为麻醉师的常规护理标准。

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