RT Book, Section
A1 Mayo, Paul
A1 Koenig, Seth
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Kress, John P.
SR Print(0)
ID 1126247328
T1 ICU Ultrasonography
T2 Principles of Critical Care, 4e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071738811
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1126247328
RD 2024/04/19
AB Ultrasonography  has  multiple  applications  in  critical  care  medicine.  The  development  of  high-quality  portable  bedside  machines  now  allows  the  frontline  intensivist  to  perform  the  ultrasonographic  examination  at  the  bedside  of  the  critically  ill  patient.  The  results  are  applied  for  diagnostic  purposes,  to  aid  in  the  ongoing  management  of  the  patient,  and  for  procedural  guidance.The  frontline  intensivist  who  is  in  charge  of  the  management  of  the  patient  in  the  intensive  care  unit  (ICU)  personally  performs  and  interprets  the  ultrasound  scan  at  the  patient  bedside.  This  requires  mastery  of  image  acquisition  and  interpretation  as  well  as  the  cognitive  elements  of  the  field.Conceptually,  ultrasonography  is  an  extension  of  the  standard  physical  examination,  as  it  allows  the  clinician  to  directly  assess  the  anatomy  and  function  of  the  body  in  a  manner  that  complements  the  traditional  bedside  physical  examination.  The  examination  may  be  limited  or  goal-directed  in  scope  and  repeated  whenever  there  is  clinical  indication.  The  information  derived  from  the  scan  is  then  integrated  into  the  overall  management  plan.Ultrasonographic  examination  of  the  heart  (goal-directed  echocardiography),  thorax  (lung  and  pleura),  abdomen  (limited  scope),  and  venous  anatomy  (deep  vein  thrombosis)  are  key  elements  of  critical  care  ultrasonography.  In  addition,  ultrasonography  has  major  utility  for  guidance  of  vascular  access,  thoracentesis,  paracentesis,  and  pericardiocentesis.