Pre-anesthetic Whole Body Point-of-care Ultrasonography.

Takeshi Nomura, Itaru Watanabe
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Abstract

Point-of-care ultrasonography has become widely used in diagnosis and managements of patients. In the field of anesthesiology, ultrasound guided nerve blocks and central venous catheterization (CVC), and transesophageal echocardiography (TEE) have become popular. Now, ultrasound devices are familiar to anesthesiologists. In pre-anesthetic patient risk evaluation, the sonographic results of transthoracic echocardiography (TTE) or the examination of deep venous thrombus are often helpful for anesthesia planning. Both examinations usually have been performed by sonographer. However, the ultrasonographic assessment of neck vessels, lung condition with diaphragm function are still less familiar among anesthesiologists. Here, we have introduced a series of pre-anesthetic whole body ultrasound evaluation of the patients. Because of less invasive technique, whole body ultrasound evaluation is suitable to use when anesthesiologists may have questions whether the patient's condition is good or not. No doubt that point-of-care ultrasonography by anesthesiologists themselves in pre-anesthesia. clinic can be the useful decision making tool of anesthesia plan. To be tomorrow's anesthesiologists, please start point-of-care pre-anesthetic ultrasonographic assessment.

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麻醉前全身即时超声检查。
即时超声检查已广泛应用于患者的诊断和治疗。在麻醉学领域,超声引导神经阻滞和中心静脉插管(CVC)以及经食管超声心动图(TEE)已成为流行。现在,麻醉师对超声设备很熟悉。在麻醉前患者风险评估中,经胸超声心动图(TTE)或深静脉血栓检查的超声结果往往有助于麻醉计划。这两种检查通常都由超声医师进行。然而,麻醉医师对颈部血管、肺状况及膈肌功能的超声评估仍不甚了解。在此,我们介绍了一系列麻醉前全身超声对患者的评估。由于微创技术,全身超声评估适用于麻醉医师对患者病情是否良好存有疑问的情况。毫无疑问,现场超声检查是由麻醉医师自己在麻醉前进行的。临床可作为麻醉方案的有效决策工具。要成为明天的麻醉师,请开始在护理点进行麻醉前超声检查。
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