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Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
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2018, Number 1

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Rev Mex Anest 2018; 41 (1)

The role of ultrasound in perioperative instability

Berrío-Valencia MI
Full text How to cite this article

Language: Spanish
References: 5
Page: 35-37
PDF size: 118.17 Kb.


Key words:

hemodynamic instability, ultrasound, transthoracic echocardiography.

ABSTRACT

Point-of care ultrasound (POCUS) has gained great importance in the perioperative period to establish the etiology of the undifferentiated shock, guide and monitor the management. The focused echocardiography guided by goals has four basic views: parasternal long axis, parasternal short axis at the level of the papillary muscles, subcostal 4 chambers and subcostal longitudinal axis of the inferior vena cava that generate basic information for the anesthesiologists and intensivists to direct the initial management. The qualitative examination requires appropriate training, and it does not replace the one performed by the echocardiographer, but has shown timely management, effectiveness in knowing the cause of the shock and possibility of real-time follow-up to the therapy instituted.


REFERENCES

  1. Spencer KT, Kimura BJ, Korcarz CE, Pellikka PA, Rahko PS, Siegel RJ. Focused cardiac ultrasound: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2013;26:567-581.

  2. Zimmerman JM, Coker BJ. The nuts and bolts of performing focused cardiovascular ultrasound (FoCUS). Anesth Analg. 2017;124:753-760.

  3. Soni NJ, Arntfield R, Kory P. Point of care ultrasound. Philadelphia, El Sevier, 2015.

  4. Lanctôt JF, Valois M, Beaulieu Y. EGLS: Echo-guided life support. An algorithmic approach to undifferentiated shock. Crit Ultrasound J. 2011;3:123-129.

  5. Vegas A, Denault A, Royse C. A bedside clinical and ultrasound-based approach to hemodynamic instability-Part II: bedside ultrasound in hemodynamic shock: continuing professional development. Can J Anaesth. 2014;61:1008-1027.




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Rev Mex Anest. 2018;41