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当前时代中心脏床旁超声检查范围的拓展

Evolving the Scope of Cardiac Point-of-Care Ultrasound in the Current Era.

作者信息

Maheshwari Sameer, Dagor Himansu

机构信息

Medicine, Sri Aurobindo Institute of Medical Sciences, Indore, IND.

出版信息

Cureus. 2024 Feb 10;16(2):e53985. doi: 10.7759/cureus.53985. eCollection 2024 Feb.

DOI:10.7759/cureus.53985
PMID:38476776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10928454/
Abstract

Point-of-care ultrasound (POCUS) has become a flexible and multifaceted diagnostic instrument in the realm of cardiac care, transforming the landscape of cardiovascular assessment. This review aims to explore the extensive scope of POCUS applications in cardiac care, highlighting its diverse utility across various medical specialties. POCUS, conducted at the patient's bedside, offers real-time insights into cardiac anatomy and function, providing a valuable adjunct to traditional diagnostic methods. In critically ill patients, POCUS has demonstrated its effectiveness in the rapid evaluation of the left and right ventricular function, identification of pericardial effusion and tamponade, assessment of volume status, and detection of valvular lesions. Its role as an adjunct to the physical examination has been particularly impactful, leading to early diagnoses and significantly influencing medical management decisions. The review also discusses the current limitations of POCUS technology. As the utilization of POCUS continues to expand across diverse medical disciplines, its ability to offer timely and accurate diagnostic information is poised to reshape the standard of care in cardiac medicine. This comprehensive review provides insights into the evolving role of POCUS in cardiac care and underscores its potential to enhance patient outcomes through rapid and informed decision-making at the point of care.

摘要

床旁超声(POCUS)已成为心脏护理领域一种灵活且多面的诊断工具,改变了心血管评估的格局。本综述旨在探讨POCUS在心脏护理中的广泛应用范围,突出其在各个医学专科中的多样用途。在患者床边进行的POCUS能实时洞察心脏解剖结构和功能,为传统诊断方法提供了有价值的辅助手段。在危重症患者中,POCUS已证明其在快速评估左、右心室功能、识别心包积液和心包填塞、评估容量状态以及检测瓣膜病变方面的有效性。其作为体格检查辅助手段的作用尤为显著,有助于早期诊断并显著影响医疗管理决策。本综述还讨论了POCUS技术目前的局限性。随着POCUS在不同医学学科中的应用不断扩大,其提供及时、准确诊断信息的能力有望重塑心脏医学的护理标准。这篇全面的综述深入探讨了POCUS在心脏护理中不断演变的作用,并强调了其通过在床边进行快速且明智的决策来改善患者预后的潜力。

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Competencies for Point-of-care Ultrasonography in ICU: An ISCCM Expert Panel Practice Recommendation.重症监护病房床旁超声检查能力:国际重症监护医学学会专家小组实践建议
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The Evolution of Cardiovascular Ultrasound: A Review of Cardiac Point-of-Care Ultrasound (POCUS) Across Specialties.心血管超声的演变:对各专业领域即时心脏超声检查(POCUS)的综述。
Am J Med. 2023 Jul;136(7):621-628. doi: 10.1016/j.amjmed.2023.02.020. Epub 2023 Mar 6.
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