床旁超声技术在围术期临床中的应用
Perioperative point-of-care ultrasound use in clinic
毛煜 1孙雪梅1
作者信息
- 1. 安徽医科大学第一附属医院麻醉科 安徽 合肥 230032
- 折叠
摘要
床旁超声(POCUS)是指在床边实时利用超声来帮助患者诊断和治疗的无创操作技术,在重症医学、急诊医学和内科领域等多个医学专业中都发挥着重要作用.越来越多的临床证据表明全身POCUS可在围手术期提供快速诊断,并直接影响麻醉管理和患者的预后,促使麻醉医师在临床实践过程中增强对围手术期超声应用的重视.目前麻醉领域尚缺乏标准的超声课程,本文综述了围手术期POCUS对多个器官评估的方法,包括心脏功能、血流动力学、气管内导管的放置、肺功能、吸入风险、血管穿刺和区域神经阻滞的可视化等.旨向麻醉医师和麻醉医学生介绍和讨论关于POCUS在围手术期中的不同用途及其重要性,以提高麻醉医师对POCUS的认识和掌握程度,推动POCUS纳入围手术期医学,为持续改进围手术期患者的麻醉管理提供重要工具.
Abstract
Point-of-care ultrasound(POCUS)refers to a non-invasive operating technology that uses ultrasound in real-time at the bedside to help diagnose and treat patients.It is used in many medical specialties such as critical care medicine,emergency medicine and internal medicine.Increasing clinical evidence shows that whole-body POCUS provides rapid diagnosis in the perioperative period and directly affects anesthesia management and patient prognosis,prompting anesthesiologists to increase their attention to the application of perioperative ultrasound in clinical practice.Currently there is a lack of standard ultrasound courses in the field of anesthesia.This review summarizes perioperative POCUS methods for multiple organ assessments,including cardiac function,hemodynamics,endotracheal tube placement,lung function,aspiration risk,and vascular puncture.and visualization of regional nerve blocks.The purpose of this article is to introduce and discuss the different uses and importance of POCUS in the perioperative period to anesthesiologists and anesthesiology students,so as to improve anesthesiologists'understanding and mastery of POCUS,promote the inclusion of POCUS in perioperative medicine,and provide an important tool for continuous improvement of anesthesia management of perioperative patients.
关键词
医学教育/围手术期医学/床旁超声/麻醉/超声诊断/重症医学Key words
Medical education/Perioperative medicine/Point-of-care ultrasound/Anesthesia/Ultrasound diagnosis/Critical care medicine引用本文复制引用
基金项目
国家自然科学基金青年基金(82101301)
出版年
2024
NETL
NSTL
万方数据