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Bedside ultrasonography-Applications in critical care: Part II
1Multidisciplinary Intensive Care Unit, Manipal Hospital, Bengaluru, Karnataka, India.
Point of care ultrasonography is an essential bedside tool for acute care physicians. This review covers ultrasound-guided procedures like central venous cannulation and deep vein thrombosis screening, enhancing patient care and safety in critical settings.
Area of Science:
- Emergency Medicine
- Critical Care
- Medical Imaging
Background:
- Point of care ultrasonography (POCUS) is a vital bedside tool for acute care physicians.
- POCUS provides critical clinical information, significantly impacting patient management.
- This review, Part II, focuses on advanced POCUS applications in critical care.
Purpose of the Study:
- To review ultrasound-guided central venous cannulation techniques and outcomes.
- To discuss the utility of compression ultrasonography for deep vein thrombosis.
- To highlight the role of abdominal, neurocritical, and airway ultrasonography in emergency settings.
Main Methods:
- Narrative review of current literature and practices.
- Description of ultrasound-guided central venous cannulation.
- Discussion of compression ultrasonography for deep vein thrombosis.
- Overview of abdominal, transcranial Doppler, and airway ultrasound applications.
Main Results:
- Ultrasound-guided central venous cannulation improves success rates and reduces complications.
- Compression ultrasonography is effective for bedside screening of deep vein thrombosis.
- Abdominal ultrasound aids in diagnosing intraperitoneal bleeds in trauma patients.
- Ultrasound is increasingly relevant for neurocritical care and airway management.
Conclusions:
- Bedside ultrasonography is indispensable in intensive care for rapid patient assessment.
- POCUS enhances the safety and efficacy of invasive procedures.
- The integration of POCUS continues to advance critical care practice.
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