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床旁超声在危重症肾脏病学中的应用

The utility of point-of-care ultrasound in critical care nephrology.

作者信息

Passos Rogério da Hora, Flato Uri Adrian Prync, Sanches Paula Rodrigues, Pellegrino Carolina Moraes, Cordioli Ricardo Luiz, Silva Bruno Caldin, Campos Felipe Galdino, Barros Dalton de Souza, Coelho Fernanda Oliveira, Bravim Bruno de Arruda, Corrêa Thiago Domingos

机构信息

Critical Care Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, Brazil.

出版信息

Front Nephrol. 2024 Oct 3;4:1402641. doi: 10.3389/fneph.2024.1402641. eCollection 2024.

Abstract

Point-of-care ultrasonography (POCUS) is gaining heightened significance in critical care settings as it allows for quick decision-making at the bedside. While computerized tomography is still considered the standard imaging modality for many diseases, the risks and delays associated with transferring a critically ill patient out of the intensive care unit (ICU) have prompted physicians to explore alternative tools. Ultrasound guidance has increased the safety of invasive procedures in the ICU, such as the placement of vascular catheters and drainage of collections. Ultrasonography is now seen as an extension of the clinical examination, providing quick answers for rapidly deteriorating patients in the ICU. The field of nephrology is increasingly acknowledging the value of diagnostic point-of-care ultrasound (POCUS). By employing multi-organ POCUS, nephrologists can address specific queries that arise during the diagnosis and treatment of patients with acute kidney injury. This approach aids in ruling out hydronephrosis and offers immediate information on hemodynamics, thereby consolidating patient data and facilitating the development of personalized treatment strategies.

摘要

床旁超声检查(POCUS)在重症监护环境中变得越来越重要,因为它能在床边实现快速决策。虽然计算机断层扫描仍被视为许多疾病的标准成像方式,但将重症患者转出重症监护病房(ICU)所带来的风险和延误促使医生探索其他工具。超声引导提高了ICU中侵入性操作的安全性,如血管导管置入和积液引流。超声检查现在被视为临床检查的延伸,为ICU中病情迅速恶化的患者提供快速答案。肾脏病领域越来越认可床旁诊断超声(POCUS)的价值。通过采用多器官POCUS,肾脏病医生可以解决急性肾损伤患者诊断和治疗过程中出现的特定问题。这种方法有助于排除肾积水,并提供有关血流动力学的即时信息,从而整合患者数据并促进个性化治疗策略的制定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ee/11484063/bf0ddd91a1b3/fneph-04-1402641-g001.jpg

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