Dhir Ankita, Bhasin Dinkar, Bhasin-Chhabra Bhavna, Koratala Abhilash
Anesthesiology, Max Super Speciality Hospital, Chandigarh, IND.
Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus. 2024 Aug 14;16(8):e66908. doi: 10.7759/cureus.66908. eCollection 2024 Aug.
Point-of-care ultrasound (POCUS) is an essential skill in various specialties like anesthesiology, critical care, and emergency medicine. Anesthesiologists utilize POCUS for quick diagnosis and procedural guidance in perioperative and critical care settings. Key applications include vascular ultrasound for challenging venous and arterial catheter placements, gastric ultrasound for aspiration risk assessment, airway ultrasound, diaphragm ultrasound, and lung ultrasound for respiratory assessment. Additional utilities of POCUS can include multi-organ POCUS evaluation for undifferentiated shock or cardiac arrest, ultrasound-guided central neuraxial and peripheral nerve blocks, focused cardiac ultrasound, and novel applications such as venous excess ultrasound. This review highlights these POCUS applications in perioperative and intensive care and summarizes the latest evidence of their accuracy and limitations.
床旁超声(POCUS)是麻醉学、重症医学和急诊医学等多个专业的一项基本技能。麻醉医生在围手术期和重症监护环境中利用床旁超声进行快速诊断和操作指导。关键应用包括用于具有挑战性的静脉和动脉导管置入的血管超声、用于误吸风险评估的胃超声、气道超声、膈肌超声以及用于呼吸评估的肺部超声。床旁超声的其他用途可包括对未分化休克或心脏骤停进行多器官床旁超声评估、超声引导下的中枢神经轴索和周围神经阻滞、聚焦心脏超声以及诸如静脉过度超声等新应用。本综述重点介绍了床旁超声在围手术期和重症监护中的这些应用,并总结了其准确性和局限性的最新证据。