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Point-of-Care Ultrasound (POCUS) for the Cardiothoracic Anesthesiologist.

Hari Kalagara1, Bradley Coker1, Neal S Gerstein2

  • 1Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL.

Journal of Cardiothoracic and Vascular Anesthesia
|February 10, 2021
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Point-of-Care Ultrasound (POCUS) is a vital bedside tool for rapid assessments and procedures. This review explores POCUS utility for cardiothoracic anesthesiologists in perioperative settings, covering education and certification.

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Point-of-Care Ultrasoundairway ultrasoundgastric ultrasoundlung ultrasoundtransthoracic echocardiographyultrasound education

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Area of Science:

  • Anesthesiology
  • Medical Imaging
  • Point-of-Care Diagnostics

Background:

  • Point-of-Care Ultrasound (POCUS) is increasingly recognized as a critical bedside diagnostic tool.
  • Its applications span diverse clinical assessments and procedural guidance.
  • Affordable ultrasound technology has led to POCUS being termed the '21st-century stethoscope'.

Purpose of the Study:

  • To review the utility of POCUS for cardiothoracic anesthesiologists.
  • To discuss POCUS applications across various perioperative contexts.
  • To address POCUS-related education, competence, and certification.

Main Methods:

  • This is a narrative review.
  • It synthesizes existing evidence and discusses established practices.
  • The review covers POCUS applications in preoperative, intraoperative, and intensive care settings.

Main Results:

  • POCUS offers significant benefits for clinical decision-making in the perioperative arena.
  • Cardiothoracic anesthesiologists have a history of using portable ultrasound, making POCUS a natural extension.
  • The review details POCUS utility across preoperative, OR, and ICU environments.

Conclusions:

  • POCUS is an invaluable tool for cardiothoracic anesthesiologists, enhancing perioperative care.
  • The integration of POCUS into practice is supported by growing evidence.
  • Education and certification are crucial for POCUS competency in this specialty.