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麻醉医生围手术期床旁超声的应用

Perioperative Point-of-Care Ultrasound Use by Anesthesiologists.

作者信息

Naji Abdullah, Chappidi Monica, Ahmed Abdelwahab, Monga Aaron, Sanders Joseph

机构信息

Anesthesiology and Perioperative Medicine, Oregon Health Science University Hospital, Portland, USA.

Anesthesiology, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, USA.

出版信息

Cureus. 2021 May 24;13(5):e15217. doi: 10.7759/cureus.15217.

Abstract

Point-of-Care ultrasound (POCUS) is the bedside utilization of ultrasound, in real-time, to aid in the diagnosis and treatment of patients. Image acquisition from POCUS utilization by anesthesiologists involves the assessment of multiple organs in different perioperative situations. POCUS can be utilized to enhance clinical decision-making in a variety of perioperative situations due to its ability to assess endotracheal tube placement, cardiac function, pulmonary function, aspiration risk, hemodynamics, vascular access, and nerve visualization for regional procedures. The mounting clinical evidence for the value of POCUS in perioperative settings, its growing affordability, and its low associated risks are responsible for the nationwide movement across many anesthesiology residency programs to increase the focus on perioperative ultrasound training. The purpose of this review is to present to current anesthesiologists and anesthesiology trainees, a broad discussion regarding the diverse utility and importance of POCUS in perioperative settings.

摘要

床旁超声(POCUS)是在床边实时利用超声来辅助患者的诊断和治疗。麻醉医生使用POCUS进行图像采集涉及在不同围手术期情况下对多个器官的评估。由于POCUS能够评估气管插管位置、心脏功能、肺功能、误吸风险、血流动力学、血管通路以及区域手术中的神经可视化,因此可用于在各种围手术期情况下加强临床决策。POCUS在围手术期环境中的价值有越来越多的临床证据支持,其价格日益亲民,且相关风险较低,这使得许多麻醉学住院医师培训项目在全国范围内开展行动,加大对围手术期超声培训的重视。本综述的目的是向当前的麻醉医生和麻醉学实习生广泛讨论POCUS在围手术期环境中的多样用途和重要性。

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