Papa Fabio de Vasconcelos
Takaoka Anestesia, Hospital Israelita Albert Einstein, Núcleo Vida SBA (Grupo ETTI), Centro de Ensino e Treinamento (CET), São Paulo, SP, Brasil.
Braz J Anesthesiol. 2020 May-Jun;70(3):288-294. doi: 10.1016/j.bjan.2020.03.012. Epub 2020 Jun 18.
The use of ultrasonography is well established in several anesthesia sub-specialties. Recently, there has been a major expansion of the POC (Point-Of-Care) ultrasound technique in intensive care, surgery, and emergency medicine, corroborating that USPOC in perioperative medicine has a much more comprehensive capability for both providing improved hemodynamic monitoring and early diagnosis of complications. The objective of the present article was to describe the use of a USPOC modality (focused cardiac US) that can be used for bedside assessment of unstable patients. Within a specific list of diagnoses, clinical treatment for a given situation can be tailored according to ultrasound findings, and by using binary and simple questions. Perioperative focused cardiac US use by the anesthesiologist has been related to lower rates of complications and mortality in high-risk patients.
超声检查在多个麻醉亚专业中的应用已得到充分确立。最近,床旁即时超声(POC)技术在重症监护、外科手术和急诊医学领域有了重大扩展,这证实了围手术期医学中的床旁即时超声在提供改进的血流动力学监测和并发症早期诊断方面具有更全面的能力。本文的目的是描述一种可用于对不稳定患者进行床旁评估的床旁即时超声模式(心脏聚焦超声)。在特定的诊断列表中,可根据超声检查结果并通过使用二元和简单问题为特定情况量身定制临床治疗方案。麻醉医生在围手术期使用心脏聚焦超声与高危患者较低的并发症发生率和死亡率相关。