Focused cardiac and lung ultrasonography: Implications and applicability in the perioperative period

José L. Díaz-Gómez, Gabriele Via, Harish Ramakrishna

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Focused ultrasonography in anesthesia (FUSA) can be a procedural and diagnostic tool, as well as potentially a tool for monitoring, and can facilitate the perioperative management of surgical patients. Its utilization is proposed within the anesthesiologist and/or intensivist scope of practice. However, there are significant barriers to more generalized use, but evidence continues to evolve that might one day make this practice a standard of care in the perioperative period. Currently, the most widely used applications of FUSA include the guidance and characterization of perioperative shock (acute cor pulmonale, left ventricular dysfunction, cardiac tamponade, and hypovolemia) and acute respiratory failure (pneumothorax, acute pulmonary edema, large pleural effusion, major atelectasis, and consolidation). Increased diagnostic accuracy of all of these clinical conditions makes FUSA valuable in the perioperative period. Furthermore, FUSA can be applied to other anesthesiology fields, such as airway management and evaluation of gastric content in surgical emergencies.

Original languageEnglish (US)
Pages (from-to)41-54
Number of pages14
JournalRomanian Journal of Anaesthesia and Intensive Care
Volume23
Issue number1
DOIs
StatePublished - 2016

Keywords

  • Focused cardiac ultrasound
  • Hypoxemia
  • Lung ultrasound
  • Shock

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine

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