Yildizdas Dincer, Aslan Nagehan
Department of Pediatric Intensive Care Cukurova University Faculty of Medicine Adana Turkey.
Australas J Ultrasound Med. 2021 Apr 5;24(2):78-81. doi: 10.1002/ajum.12233. eCollection 2021 May.
Recently, the use of point-of-care ultrasonography (POCUS) by pediatricians especially in emergency and intensive care departments has become increasingly popular. Critical care echocardiography (CCE) quickly and accurately identifies cardiac function, allowing intensivists to manage critically ill pediatric patients by manipulating vasoactive-inotrope-fluid treatment based on the echocardiographic results. Training courses for POCUS are increasingly available and more intensivists are learning how to use CCE. In this review, we focus on the importance and utility of CCE in pediatric intensive units and how it assists in the management of hemodynamically unstable pediatric patients. We highlight the common measurements carried out by intensive care specialists and emphasize the role of the CCE methods in PICUs.
最近,儿科医生尤其是在急诊科和重症监护科使用床旁超声检查(POCUS)变得越来越普遍。重症监护超声心动图(CCE)能快速准确地识别心脏功能,使重症监护医生能够根据超声心动图结果通过调整血管活性药物 - 正性肌力药物 - 液体治疗来管理重症儿科患者。POCUS培训课程越来越多,越来越多的重症监护医生正在学习如何使用CCE。在本综述中,我们重点关注CCE在儿科重症监护病房中的重要性和实用性,以及它如何协助管理血流动力学不稳定的儿科患者。我们强调了重症监护专家进行的常见测量,并强调了CCE方法在儿科重症监护病房中的作用。