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Ultrasound for the Anesthesiologists: Present and Future

Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic too...

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Autores principales: Terkawi, Abdullah S., Karakitsos, Dimitrios, Elbarbary, Mahmoud, Blaivas, Michael, Durieux, Marcel E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3856172/
https://www.ncbi.nlm.nih.gov/pubmed/24348179
http://dx.doi.org/10.1155/2013/683685
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author Terkawi, Abdullah S.
Karakitsos, Dimitrios
Elbarbary, Mahmoud
Blaivas, Michael
Durieux, Marcel E.
author_facet Terkawi, Abdullah S.
Karakitsos, Dimitrios
Elbarbary, Mahmoud
Blaivas, Michael
Durieux, Marcel E.
author_sort Terkawi, Abdullah S.
collection PubMed
description Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum.
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spelling pubmed-38561722013-12-17 Ultrasound for the Anesthesiologists: Present and Future Terkawi, Abdullah S. Karakitsos, Dimitrios Elbarbary, Mahmoud Blaivas, Michael Durieux, Marcel E. ScientificWorldJournal Review Article Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum. Hindawi Publishing Corporation 2013-11-20 /pmc/articles/PMC3856172/ /pubmed/24348179 http://dx.doi.org/10.1155/2013/683685 Text en Copyright © 2013 Abdullah S. Terkawi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Terkawi, Abdullah S.
Karakitsos, Dimitrios
Elbarbary, Mahmoud
Blaivas, Michael
Durieux, Marcel E.
Ultrasound for the Anesthesiologists: Present and Future
title Ultrasound for the Anesthesiologists: Present and Future
title_full Ultrasound for the Anesthesiologists: Present and Future
title_fullStr Ultrasound for the Anesthesiologists: Present and Future
title_full_unstemmed Ultrasound for the Anesthesiologists: Present and Future
title_short Ultrasound for the Anesthesiologists: Present and Future
title_sort ultrasound for the anesthesiologists: present and future
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3856172/
https://www.ncbi.nlm.nih.gov/pubmed/24348179
http://dx.doi.org/10.1155/2013/683685
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