Abstract:
The use of point-of-care ultrasonography (POCUS) is not limited to the diagnosis and/or monitoring of critically ill patients. Further, ultrasound guidance is of paramount relevance to aid in successfully and safely performing several procedures in the intensive care unit (ICU). In this article, we review the role of POCUS as a procedural guidance in the ICU. Core procedures include, but are not limited to, vascular cannulation, pericardiocentesis, thoracentesis, paracentesis, aspiration of soft-tissue collections/arthrocentesis and lumbar puncture. With time, the procedures performed by intensivists may extend beyond the core competencies depicted in this review. Ultrasound guidance should be part of the intensivist\'s competencies, for which appropriate training should be achieved.
摘要:
即时超声检查(POCUS)的使用不仅限于危重病人的诊断和/或监测。Further,超声引导对于帮助在重症监护病房(ICU)中成功和安全地执行多种程序至关重要。在这篇文章中,我们回顾了POCUS在ICU中作为程序性指导的作用.核心程序包括,但不限于,血管插管术,心包穿刺术,胸腔穿刺术,穿刺术,软组织收集物/关节穿刺术和腰椎穿刺抽吸。随着时间的推移,强化医师执行的程序可能超出本综述中描述的核心能力。超声引导应该是强化医生能力的一部分,应该进行适当的培训。