Application progress of point of care ultrasound in perioperative evaluation and monitoring
-
摘要: 目的 近些年,在可视化浪潮的推动下,床旁超声凭借简单、快速、实用、成本低等优势,在麻醉与围术期中应用越来越广。除了在指导血管穿刺与神经阻滞中广泛使用,现代麻醉医学越来越重视床旁超声在围术期评估与监测中的应用,这不仅能提高麻醉医师在术前对危重病人准确评估的能力,还能更好地优化围术期管理,保证患者的安全。本文将近年来床旁超声技术在围术期中包括心脏、肺部、气道、胃部、眼部5个部位的评估与监测中的应用进行汇总,为围术期使用床旁超声技术提供参考,也为进一步推动床旁超声技术纳入麻醉医师规范性培训中提供理论依据。Abstract: In recent years, driven by the wave of visualization, point of Care ultrasound(POCUS)has become more and more widely used in anesthesia and perioperative due to its advantages of simplicity, speed, practicality, and low cost.With being widely used in guiding vascular puncture and nerve block, modern anesthesiology pays more and more attention to the application of POCUS in perioperative evaluation and monitoring. This can not only improve the ability of anesthesiologists to accurately evaluate critically ill patients before surgery but also better optimize perioperative management and ensure patient safety. This article summarizes the application of POCUS in the evaluation and monitoring of five parts of the heart, lungs, airway, stomach, and eyes during the perioperative period in recent years, and provides a reference for the use of POCUS in the perioperative period. It also provides a theoretical basis for further promoting POCUS into the normative training of anesthesiolog
-
Key words:
- point of care ultrasound /
- clinical anesthesia /
- perioperative application
-
[1] Moore CL, Copel JA. Point-of-care ultrasonography[J]. N Engl J Med, 2011, 364(8): 749-57. doi: 10.1056/NEJMra0909487 [2] Novitch M, Prabhakar A, Siddaiah H, et al. Point of care ultrasound for the clinical anesthesiologist[J]. Best Pract Res Clin Anaesthesiol, 2019, 33(4): 433-46. doi: 10.1016/j.bpa.2019.06.003 [3] Conlin F, Connelly NR, Eaton MP, et al. Perioperative use of focused transthoracic cardiac ultrasound: a survey of current practice and opinion[J]. AnesthAnalg, 2017, 125(6): 1878-82. http://www.ncbi.nlm.nih.gov/pubmed/28537977 [4] Schisler T, Marquez JM, Hilmi I, et al. Pulmonary hypertensive crisis on induction of anesthesia[J]. Semin Cardiothorac Vasc Anesth, 2017, 21(1): 105-13. doi: 10.1177/1089253216652222 [5] Kirkpatrick JN, Grimm R, Johri AM, et al. Recommendations for echocardiography laboratories participating in cardiac point of care cardiac ultrasound (POCUS) and critical care echocardiography training: report from the American society of echocardiography[J]. J Am Soc Echocardiogr, 2020, 33(4): 409-22. e4. doi: 10.1016/j.echo.2020.01.008 [6] Yamazaki S, Omae T, Koh K, et al. Fixation of intracapsular fracture of the femoral neck using combined peripheral nerve blocks and transthoracic echocardiography in a patient with severe obstructive hypertrophic cardiomyopathy: a case report[J]. JA Clin Rep, 2019, 5 (1): 64. doi: 10.1186/s40981-019-0287-1 [7] 魏宏, 涂汉坤, 李朝阳, 等. 经胸心脏超声指导感染性休克患者围术期液体复苏的应用效果评估[J]. 中国当代医药, 2018, 25(21): 79-81, 84. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD201821025.htm [8] Jaidka A, Hobbs H, Koenig S, et al. Better with ultrasound: transesophageal echocardiography[J]. Chest, 2019, 155(1): 194-201. doi: 10.1016/j.chest.2018.09.023 [9] Mahmood F, Shernan SK. Perioperative transoesophageal echocardiography: current status and future directions[J]. Heart, 2016, 102(15): 1159-67. doi: 10.1136/heartjnl-2015-307962 [10] Fayad A, Shillcutt SK. Perioperative transesophageal echocardiography for non-cardiac surgery[J]. J Can D'anesthesie, 2018, 65(4): 381-98. doi: 10.1007/s12630-017-1017-7 [11] 王萍, 赵磊, 王天龙, 等. 心脏超声指导胶质瘤切除术术中心搏骤停复苏1例[J]. 国际麻醉学与复苏杂志, 2020, 41(9): 882-7. [12] Ellison MB, Anjum F, Grose BW. Intraoperative Echocardiography [M]. StatPearls, Treasure Island (FL): StatPearls Publishing, 2020. [13] Jain K, Yadav M, Gupta N, et al. Ultrasonographic assessment of airway[J]. JAnaesthesiol Clin Pharmacol, 2020, 36(1): 5-12. doi: 10.4103/joacp.JOACP_319_18 [14] Lichtenstein DA. How can the use of lung ultrasound in cardiac arrest make ultrasound a holistic discipline. The example of the SESAME-protocol[J]. Med Ultrason, 2014, 16(3): 252-5. http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=97292253&site=ehost-live [15] Ramsingh D, Frank E, Haughton R, et al. Auscultation versus pointof-care ultrasound to determine endotracheal versus bronchial intubation: a diagnostic accuracy study[J]. Anesthesiology, 2016, 124(5): 1012-20. doi: 10.1097/ALN.0000000000001073 [16] Nørskov AK. Preoperative airway assessment-experience gained from a multicentre cluster randomised trial and the Danish Anaesthesia Database[J]. Dan Med J, 2016, 63(5): B5241. http://www.ncbi.nlm.nih.gov/pubmed/27127020 [17] Eiamcharoenwit J, Itthisompaiboon N, Limpawattana P, et al. The performance of neck circumference and other airway assessment tests for the prediction of difficult intubation in obese parturients undergoing cesarean delivery[J]. Int J ObstetAnesth, 2017, 31: 45-50. http://www.sciencedirect.com/science/article/pii/S0959289X16300905 [18] Hui CM, Tsui BC. Sublingual ultrasound as an assessment method for predicting difficult intubation: a pilot study[J]. Anaesthesia, 2014, 69(4): 314-9. doi: 10.1111/anae.12598 [19] Adhikari S, Zeger W, Schmier C, et al. Pilot study to determine the utility of point-of-care ultrasound in the assessment of difficult laryngoscopy[J]. Acad Emerg Med, 2011, 18(7): 754-8. doi: 10.1111/j.1553-2712.2011.01099.x [20] 郑镇伟, 马武华, 杜瑞明, 等. 超声测量舌体积和舌纵截面积预测困难气道的有效性[J]. 临床麻醉学杂志, 2020, 36(3): 228-33. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202003004.htm [21] Singh S, Jindal P, Ramakrishnan P, et al. Prediction of endotracheal tube size in children by predicting subglottic diameter using ultrasonographic measurement versus traditional formulas[J]. Saudi JAnaesth, 2019, 13(2): 93-9. http://www.ncbi.nlm.nih.gov/pubmed/31007653 [22] Ford JW, Heiberg J, Brennan AP, et al. A pilot assessment of 3 pointof-care strategies for diagnosis of perioperative lung pathology[J]. AnesthAnalg, 2017, 124(3): 734-42. http://www.ingentaconnect.com/content/wk/ane/2017/00000124/00000003/art00012 [23] Wu L, Hou Q, Lu Y, et al. Feasibility of lung ultrasound to assess pulmonary overflow in congenital heart disease children[J]. Pediatr Pulmonol, 2018, 53(11): 1525-32. doi: 10.1002/ppul.24169 [24] Teichgräber UK, Hackbarth J. Sonographic bedside quantification of pleural effusion compared to computed tomography volumetry in ICU patients[J]. Ultrasound Int Open, 2018, 4(4): E131-5. doi: 10.1055/a-0747-6416 [25] Mirabile C, Malekzadeh-Milani S, Vinh TQ, et al. Intraoperative hypoxia secondary to pneumothorax: The role of lung ultrasound[J]. PaediatrAnaesth, 2018, 28(5): 468-70. http://smartsearch.nstl.gov.cn/paper_detail.html?id=8258e99fa8f73ef2fb6b81402780ff9c [26] 王研, 孙思庆, 周本昊, 等. 肺部超声在老年肺切除术后患者血管外肺水的评估价值[J]. 临床肺科杂志, 2020, 25(9): 1297-1300, 1310. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFK202009001.htm [27] Cantinotti M, Ait Ali L, Scalese M, et al. Lung ultrasound reclassification of chest X-ray data after pediatric cardiac surgery[J]. PaediatrAnaesth, 2018, 28(5): 421-7. http://europepmc.org/abstract/MED/29575312 [28] Wang E, Mei W, Shang Y, et al. Chinese association of anesthesiologists expert consensus on the use of perioperative ultrasound in coronavirus disease 2019 patients[J]. J Cardiothorac VascAnesth, 2020, 34(7): 1727-32. http://www.researchgate.net/publication/340577664_Chinese_Association_of_Anesthesiologists_Expert_Consensus_on_the_Use_of_Perioperative_Ultrasound_in_Coronavirus_Disease_2019_Patients [29] Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American society of anesthesiologists task force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration[J]. Anesthesiology, 2017, 126(3): 376-93. [30] van de Putte P, Vernieuwe L, Jerjir A, et al. When fasted is not empty: a retrospective cohort study of gastric content in fasted surgical patients[J]. Br JAnaesth, 2017, 118(3): 363-71. doi: 10.1093/bja/aew435 [31] Bouvet L, Desgranges FP, Aubergy C, et al. Prevalence and factors predictive of full stomach in elective and emergency surgical patients: a prospective cohort study[J]. Br J Anaesth, 2017, 118(3): 372-9. doi: 10.1093/bja/aew462 [32] Perlas A, Arzola C, van de Putte P. Point-of-care gastric ultrasound and aspiration risk assessment: a narrative review[J]. J Can D'anesthesie, 2018, 65(4): 437-48. doi: 10.1007/s12630-017-1031-9 [33] Dias FSB, Alvares BR, Jales RM, et al. The use of ultrasonography for verifying gastric tube placement in newborns[J]. Adv Neonatal Care, 2019, 19(3): 219-25. doi: 10.1097/ANC.0000000000000553 [34] Blaivas M. Bedside emergency department ultrasonography in the evaluation of ocular pathology[J]. Acad Emerg Med, 2000, 7(8): 947-50. doi: 10.1111/j.1553-2712.2000.tb02080.x [35] Geeraerts T, Merceron S, Benhamou D, et al. Non-invasive assessment of intracranial pressure using ocular sonography in neurocritical care patients[J]. Intensive Care Med, 2008, 34(11): 2062-7. doi: 10.1007/s00134-008-1149-x [36] Shafiq F, Ali MA, Khan FA. Pre-anaesthetic assessment of intracranial pressure using optic nerve sheath diameter in patients scheduled for elective tumour craniotomy[J]. J Ayub Med Coll Abbottabad, 2018, 30(2): 151-4. http://europepmc.org/abstract/MED/29938408 [37] Lee B, Koo BN, Choi YS, et al. Effect of caudal block using different volumes of local anaesthetic on optic nerve sheath diameter in children: a prospective, randomized trial[J]. Br J Anaesth, 2017, 118 (5): 781-7. doi: 10.1093/bja/aex078 [38] Das MC, Srivastava A, Yadav RK, et al. Optic nerve sheath diameter in children with acute liver failure: a prospective observational pilot study[J]. Liver Int, 2020, 40(2): 428-36. doi: 10.1111/liv.14259 [39] 曾毅, 程静林, 李会霞, 等. 腹腔镜妇科肿瘤根治术中并发脑水肿的评估: 超声法测定视神经鞘直径[J]. 中华麻醉学杂志, 2019, 39(11): 1319-21. [40] Jun IJ, Kim M, Lee J, et al. Effect of mannitol on ultrasonographically measured optic nerve sheath diameter as a surrogate for intracranial pressure during robot-assisted laparoscopic prostatectomy with pneumoperitoneum and the trendelenburg position[J]. J Endourol, 2018, 32(7): 608-13. doi: 10.1089/end.2017.0828 [41] Sekhon MS, McBeth P, Zou J, et al. Association between optic nerve sheath diameter and mortality in patients with severe traumatic brain injury[J]. Neurocrit Care, 2014, 21(2): 245-52. doi: 10.1007/s12028-014-0003-y
点击查看大图
计量
- 文章访问数: 467
- HTML全文浏览量: 232
- PDF下载量: 7
- 被引次数: 0