Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL.
Department of Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, NM.
J Cardiothorac Vasc Anesth. 2022 Apr;36(4):1132-1147. doi: 10.1053/j.jvca.2021.01.018. Epub 2021 Jan 16.
Point-of-Care Ultrasound (POCUS) is a valuable bedside diagnostic tool for a variety of expeditious clinical assessments or as guidance for a multitude of acute care procedures. Varying aspects of nearly all organ systems can be evaluated using POCUS and, with the increasing availability of affordable ultrasound systems over the past decade, many now refer to POCUS as the 21-century stethoscope. With the current available and growing evidence for the clinical value of POCUS, its utility across the perioperative arena adds enormous benefit to clinical decision-making. Cardiothoracic anesthesiologists routinely have used portable ultrasound systems for nearly as long as the technology has been available, making POCUS applications a natural extension of existing cardiothoracic anesthesia practice. This narrative review presents a broad discussion of the utility of POCUS for the cardiothoracic anesthesiologist in varying perioperative contexts, including the preoperative clinic, the operating room (OR), intensive care unit (ICU), and others. Furthermore, POCUS-related education, competence, and certification are addressed.
床边即时超声（POCUS）是一种非常有价值的床边诊断工具，可用于快速进行各种临床评估，或为众多急性护理程序提供指导。使用 POCUS 可以评估几乎所有器官系统的不同方面，而且在过去十年中，随着负担得起的超声系统的日益普及，许多人现在将 POCUS 称为 21 世纪的听诊器。由于目前有越来越多的证据表明 POCUS 具有临床价值，因此它在围手术期的广泛应用为临床决策提供了巨大的益处。心胸麻醉医师几乎与该技术问世的时间一样长，一直使用便携式超声系统，因此 POCUS 的应用是现有心胸麻醉实践的自然延伸。本叙述性综述广泛讨论了 POCUS 在不同围手术期环境下对心胸麻醉医师的实用性，包括术前诊所、手术室（OR）、重症监护病房（ICU）和其他环境。此外，还讨论了与 POCUS 相关的教育、能力和认证。
