Department of Anesthesiology, Tondela-Viseu Hospital Center, EPE, Viseu, Portugal.
San Francisco de Asís Hospital, Ultrasonography Unit, Ecographic Diagnostic Center, Madrid, Spain.
Anaesthesiol Intensive Ther. 2022;54(1):80-84. doi: 10.5114/ait.2022.112886.
In recent years, ultrasonography has gained unmatched importance in medical practice. After the initial use for central vascular access placement and regional anaesthesia, its application has expanded to airway, ocular, abdominal, lung and cardiac ultrasound, with the concept of point of care ultrasound (POCUS) gaining acceptability and applicability in the most diverse situations. In fact, it has recently been acclaimed as the fifth pillar to bedside evaluation [1]. Performing a POCUS-guided eva-luation has proved to be of value in emergency medicine, with studies demonstrating improved diagnosis and better outcomes [2]. Similarly, in critical care, systematic ultrasound evaluation has been shown to decrease the use of conventional diagnostic imaging tools and time on mechanical ventilation and improve the management of fluid therapy [3]. Recognition of the benefit of ultrasound evaluation in the perioperative period has been increasing. In fact, the need to master clinical ultrasound evaluation has led the Canadian anaesthesiology academic centres to issue recommendations regarding the scope of practice and required training for perioperative POCUS [4].
近年来，超声检查在医学实践中得到了无与伦比的重视。在最初用于中央血管通路放置和区域麻醉之后，其应用已扩展到气道、眼部、腹部、肺部和心脏超声，即时护理超声（POCUS）的概念在最不同的情况下都得到了认可和适用性。事实上，它最近被誉为床边评估的第五大支柱[1]。进行 POCUS 引导的评估已被证明在急诊医学中有价值，研究表明其可改善诊断并带来更好的结果[2]。同样，在重症监护中，系统的超声评估已被证明可减少对常规诊断成像工具的使用以及机械通气时间，并改善液体治疗管理[3]。人们对围手术期超声评估益处的认识不断提高。事实上，对超声评估的需求使得加拿大麻醉学学术中心就围手术期 POCUS 的实践范围和所需培训发布了建议[4]。
