Department of Anaesthesia and Critical Care, Cardiothoracic and Vascular Anaesthesia and Intensive Care Medicine, Azienda Ospedaliero Universitaria Pisana, Via Paradisa 2, 56124, Pisa, Italy.
Thoracic Endoscopy Unit, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Cardiovasc Ultrasound. 2020 Jul 6;18(1):25. doi: 10.1186/s12947-020-00208-z.
Pulmonary embolism (PE) is a life-threatening disease difficult to diagnose and manage in severe hemodynamic unstable patients. Transoesophageal echocardiography (TEE) is considered useful to improve diagnosis, but such approach has physical limitations for the interposition of the airways preventing the clear assessment of the left pulmonary artery. Endobronchial ultrasound (EBUS), a recently developed technique carried out using a modified bronchoscope having a small ultrasound convex probe at the tip allowing to perform ultrasonography examination of the mediastinum, can extensively visualize the pulmonary arteries on both sides.
We present the first use of EBUS to rapidly diagnose and subsequently treat a 64 years old woman with history of lateral amyotrophic sclerosis admitted to the intensive care unit (ICU) for severe dyspnoea and rapidly experiencing a cardiac arrest.
Combined bedside EBUS and echocardiography allowed to rapidly diagnose the cause of cardiac arrest and avoid risks related to transferring the critical patient to the radiology department.
肺栓塞（PE）是一种危及生命的疾病，对于严重血流动力学不稳定的患者，其诊断和治疗具有一定难度。经食管超声心动图（TEE）被认为有助于提高诊断水平，但由于气道的介入，该方法存在物理限制，无法清晰评估左肺动脉。支气管内超声（EBUS）是一种最近开发的技术，使用带有小型超声凸探头的改良支气管镜进行操作，允许对纵隔进行超声检查，能够广泛地对两侧肺动脉进行可视化。
我们首次使用 EBUS 快速诊断并随后治疗了一名 64 岁女性，该女性患有侧索硬化症病史，因严重呼吸困难和迅速发生心脏骤停而被收入重症监护病房（ICU）。
床边联合使用 EBUS 和超声心动图可快速诊断心脏骤停的原因，并避免将危重症患者转运至放射科所带来的风险。
