床旁超声在创伤患者围手术期护理中的应用现状
Current status of point of care ultrasonography for the perioperative care of trauma patients.
作者信息
Heinz Eric R, Keneally Ryan, d'Empaire Pablo Perez, Vincent Anita
机构信息
Department of Anesthesiology and Critical Care Medicine. George Washington University, Washington, District of Columbia, USA.
Department of Anesthesiology and Pain Medicine, Department of Anesthesia, Sunnybrook Health Sciences Centre University of Toronto, Toronto, Canada.
出版信息
Curr Opin Anaesthesiol. 2023 Apr 1;36(2):168-175. doi: 10.1097/ACO.0000000000001229. Epub 2022 Dec 22.
PURPOSE OF REVIEW
The incorporation of point of care ultrasound into the field of anesthesiology and perioperative medicine is growing at rapid pace. The benefits of this modality align with the acuity of patient care and decision-making in anesthetic care of a trauma patient.
RECENT FINDINGS
Cardiac ultrasound can be used to diagnose cardiac tamponade or investigate the inferior vena cava to assess volume status in patients who may suffer from hemorrhagic shock. Thoracic ultrasound may be used to rapidly identify pneumothorax or hemothorax in a patient suffering chest wall trauma. In addition, investigators are exploring the utility of ultrasonography in traumatic airway management and elevated intracranial pressure. In addition, the utility of gastric ultrasound on trauma patients is briefly discussed.
SUMMARY
Incorporation of point of care ultrasound techniques into the practice of trauma anesthesiology is important for noninvasive, mobile and expeditious assessment of trauma patients. In addition, further large-scale studies are needed to investigate how point of care ultrasound impacts outcomes in trauma patients.
综述目的
即时超声在麻醉学和围手术期医学领域的应用正在迅速发展。这种模式的优势与创伤患者麻醉护理中患者护理和决策的敏锐性相契合。
最新发现
心脏超声可用于诊断心脏压塞或检查下腔静脉，以评估可能发生失血性休克患者的容量状态。胸部超声可用于快速识别胸壁创伤患者的气胸或血胸。此外，研究人员正在探索超声检查在创伤气道管理和颅内压升高方面的应用。此外，还简要讨论了超声检查在创伤患者胃方面的应用。
总结
将即时超声技术纳入创伤麻醉学实践对于无创、移动和快速评估创伤患者非常重要。此外，还需要进一步的大规模研究来调查即时超声如何影响创伤患者的预后。
Zotero 插件