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Utility of ultrasound in the ICU
- Source :
- Current opinion in anaesthesiology. 27(2)
- Publication Year :
- 2014
-
Abstract
- Use of ultrasound in the acute care setting has become more common in recent years. However, it still remains underutilized in the perioperative management of critical patients. In this review, we aim to increase the awareness of ultrasound as an important diagnostic modality that can be used in the perioperative period to improve patient care. Our main focus will be in describing the diagnostic uses of ultrasound to identify cardiac, pulmonary, airway and vascular diseases commonly encountered in acute care settings.We find that ultrasound can be used in a quick fashion to assess a haemodynamically unstable patient. Protocols are available to use ultrasound as a part of cardiopulmonary resuscitation. Ultrasound can help in deciding fluid vs. pressor treatment by evaluating the inferior vena cava and other cardiac structures.Lung ultrasound can not only help in diagnosing pneumothoracies and effusions but also look at lung recruitment and diaphragmatic movement, hence can aid in deciding extubation strategies. This modality can be utilized for confirmation of endotracheal tube.Recent interest in axillary vein cannulation with ultrasound guidance has gained some momentum.This article covers the recent developments and literature available on point of care ultrasound and its utilization in the perioperative period. We have not covered some other important uses of ultrasound such as abdominal examination looking at the aorta and other abdominal organs. This was beyond the scope of this article.
- Subjects :
- medicine.medical_specialty
Modality (human–computer interaction)
Perioperative management
Vena cava
business.industry
medicine.medical_treatment
Ultrasound
MEDLINE
Vena Cava, Inferior
Perioperative
Intensive Care Units
Anesthesiology and Pain Medicine
Echocardiography
Acute care
medicine
Intubation, Intratracheal
Intubation
Humans
Intensive care medicine
business
Perioperative Period
Lung
Echocardiography, Transesophageal
Ultrasonography
Subjects
Details
- ISSN :
- 14736500
- Volume :
- 27
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Current opinion in anaesthesiology
- Accession number :
- edsair.doi.dedup.....e5f82d1463e62c2e0e7b3b3e872f6aab