Verras Christos, Ventoulis Ioannis, Bezati Sofia, Matsiras Dionysis, Parissis John, Polyzogopoulou Effie
Emergency Department, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, Greece.
Department of Occupational Therapy, University of Western Macedonia, 50100 Kozani, Greece.
J Clin Med. 2023 Jan 31;12(3):1105. doi: 10.3390/jcm12031105.
The point-of-care ultrasound (POCUS) has been effectively used in intensive care units for the management of septic patients. Since it is a time- and cost-effective non-invasive imaging modality, its use in the emergency department (ED) has been advocated for by medical experts. This review summarizes the existing literature regarding the breadth of POCUS as a supplementary tool to the holistic approach of septic patients in the ED setting. A literature search was conducted via PubMed (MEDLINE), Cochrane Library, and Scopus databases, analyzing studies which examined the use of POCUS in the ED for non-traumatic, septic, and/or undifferentiated hypotensive patients, resulting in 26 studies. The first cluster of studies investigates the efficiency of POCUS protocols in the differential diagnosis and its reliability for distributive/septic shock and sepsis management. In the second cluster, POCUS use results in faster sepsis cause identification and improves therapeutic management. The third cluster confirms that POCUS aids in the accurate diagnosis and management, even in rare and complicated cases. The results of the present review support the well-documented utility of POCUS and highlight the importance of POCUS incorporation in the comprehensive management of the septic patient in the ED setting.
床旁超声（POCUS）已在重症监护病房有效用于脓毒症患者的管理。由于它是一种具有时间和成本效益的非侵入性成像方式，医学专家提倡在急诊科（ED）使用它。本综述总结了现有关于POCUS作为急诊科脓毒症患者整体治疗补充工具广度的文献。通过PubMed（MEDLINE）、Cochrane图书馆和Scopus数据库进行文献检索，分析研究POCUS在急诊科用于非创伤性、脓毒症和/或未分化低血压患者的研究，共得到26项研究。第一组研究调查了POCUS方案在鉴别诊断中的效率及其对分布性/脓毒症休克和脓毒症管理的可靠性。在第二组中，使用POCUS可更快识别脓毒症病因并改善治疗管理。第三组证实，即使在罕见和复杂病例中，POCUS也有助于准确诊断和管理。本综述结果支持POCUS已被充分证明的效用，并强调了将POCUS纳入急诊科脓毒症患者综合管理的重要性。
