超声检查皮肤和软组织感染,非感染性囊肿,异物,和烧伤在重症监护设置。

IF 2 Q2 NURSING AACN Advanced Critical Care Pub Date : 2023-09-15 DOI:10.4037/aacnacc2023182
Kelli A Craven, Kyle Luckey-Smith, Susanna Rudy
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引用次数: 0

摘要

超声检查在皮肤和软组织鉴别诊断中有多种应用机会。超声检查价格低廉,易于重复,并且能够在情况变化和进展常见的情况下提供实时数据。床边超声检查不仅为临床医生提供了深入观察表皮结构以外的体腔,而且它仍然是一种安全、非电离辐射、有效、经济、可靠和易于获得的工具,可用于紧急管理危及生命和肢体的肠膜感染。不必要的侵入性手术被最小化,提供了更好的患者预后。外伤、手术和住院后继发的肠膜异常在重症监护患者中很常见。本文提供了一个简要的概述和基于证据的超声检查在肠系统疾病的重症监护环境中的应用建议,包括常见的皮肤和软组织鉴别、异物和烧伤深度评估。
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Ultrasonography for Skin and Soft Tissue Infections, Noninfectious Cysts, Foreign Bodies, and Burns in the Critical Care Setting.

There are multiple opportunities for the use of ultrasonography in the diagnosis of skin and soft tissue differentials. Ultrasonography is inexpensive, easily reproducible, and able to provide real-time data in situations where condition changes and progression are common. Not only does bedside ultrasonography provide the clinician an in-depth look beyond epidermal structures into body cavities, it remains a safe, nonionizing radiating, effective, cost-efficient, reliable, and accessible tool for the emergency management of life- and limb-threatening integumentary infections. Unnecessary invasive procedures are minimized, providing improved patient outcomes. Integumentary abnormalities secondary to trauma, surgery, and hospitalization are common among critical care patients. This article provides a brief overview and evidence-based recommendations for the use of ultrasonography in the critical care setting for integumentary system conditions, including common skin and soft tissue differentials, foreign bodies, and burn depth assessment.

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来源期刊
CiteScore
2.10
自引率
4.50%
发文量
37
期刊介绍: AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.
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