Division of Cardiac Anesthesiology, Department of Anesthesiology and Pain Medicine, University of Ottawa, 40 Rue Ruskin St., Ottawa, ON, K1Y 4W7, Canada.
Can J Anaesth. 2019 Apr;66(4):448-460. doi: 10.1007/s12630-019-01303-0. Epub 2019 Feb 19.
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.
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。