重症监护肾病学中护理点超声波的实用性。

Frontiers in nephrology Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI:10.3389/fneph.2024.1402641
Rogério da Hora Passos, Uri Adrian Prync Flato, Paula Rodrigues Sanches, Carolina Moraes Pellegrino, Ricardo Luiz Cordioli, Bruno Caldin Silva, Felipe Galdino Campos, Dalton de Souza Barros, Fernanda Oliveira Coelho, Bruno de Arruda Bravim, Thiago Domingos Corrêa
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引用次数: 0

摘要

护理点超声造影(POCUS)在重症监护领域的重要性日益凸显,因为它可以在床边快速做出决策。虽然计算机断层扫描仍被认为是许多疾病的标准成像方式,但将重症患者转出重症监护室(ICU)所带来的风险和延误促使医生们开始探索其他工具。超声引导提高了重症监护室侵入性手术的安全性,如血管导管置入和积液引流。现在,超声波检查被视为临床检查的延伸,可为重症监护室中病情迅速恶化的病人提供快速诊断。肾脏病学领域越来越认识到床旁超声诊断(POCUS)的价值。通过使用多器官 POCUS,肾脏病学家可以解决急性肾损伤患者在诊断和治疗过程中出现的具体问题。这种方法有助于排除肾积水,并提供有关血液动力学的即时信息,从而整合患者数据,促进个性化治疗策略的制定。
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The utility of point-of-care ultrasound in critical care nephrology.

Point-of-care ultrasonography (POCUS) is gaining heightened significance in critical care settings as it allows for quick decision-making at the bedside. While computerized tomography is still considered the standard imaging modality for many diseases, the risks and delays associated with transferring a critically ill patient out of the intensive care unit (ICU) have prompted physicians to explore alternative tools. Ultrasound guidance has increased the safety of invasive procedures in the ICU, such as the placement of vascular catheters and drainage of collections. Ultrasonography is now seen as an extension of the clinical examination, providing quick answers for rapidly deteriorating patients in the ICU. The field of nephrology is increasingly acknowledging the value of diagnostic point-of-care ultrasound (POCUS). By employing multi-organ POCUS, nephrologists can address specific queries that arise during the diagnosis and treatment of patients with acute kidney injury. This approach aids in ruling out hydronephrosis and offers immediate information on hemodynamics, thereby consolidating patient data and facilitating the development of personalized treatment strategies.

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