在重症监护环境中治疗点的超声波:腹部POCUS
1Bryan Boling is Nurse Practitioner, Department of Anesthesiology, Division of Critical Care Medicine, University of Kentucky, 531 Southbend Dr, Lexington, KY 40503 (Bryan.boling@georgetown.edu); and Adjunct Faculty, Adult-Gerontology Acute Care Nurse Practitioner Program, Georgetown University, Washington, DC.
AACN advanced critical care
|August 29, 2023
概括
护理点超声波 (POCUS) 在重症监护中至关重要. 这篇文章详细介绍了非创伤性腹部POCUS应用,包括器官功能,休克和败血症,超出了创伤性超声波对焦评估考试.
科学领域:
- 关键护理医学 关键护理医学
- 医疗成像医学成像
- 紧急医疗 紧急医疗
背景情况:
- 护理点超声波 (POCUS) 越来越多地成为重症监护患者管理的组成部分.
- 焦点评估与超声波创伤 (FAST) 考试是一个常见的POCUS应用程序,用于腹部评估.
- 非创伤腹部POCUS在重症监护机构提供了重要的诊断和管理能力.
研究的目的:
- 为重症监护人员概述重要的非创伤腹部POCUS技术.
- 突出POCUS在评估腹部器官功能,休克状态和败血症方面的实用性.
- 为腹部POCUS提供基础指南,超越创伤场景.
主要方法:
- 对腹部结构的已建立的护理点超声波协议的审查.
- 描述评估胆道,肝脏,脏,膀和尾的技术.
- 关于使用POCUS识别和管理腹腔内自由液的指导.
主要成果:
- POCUS可以进行全面的非创伤腹部评估.
- 特定的POCUS方法有助于对关键腹部器官进行评估.
- 鉴定腹腔内自由液体是一个关键的POCUS发现.
结论:
- 非创伤腹部POCUS是重症监护诊断和管理的宝贵工具.
- 扩大POCUS的使用范围超越FAST,通过解决各种腹部病理,改善患者护理.
- 在腹部POCUS的能力提高了重症监护提供者的诊断武器.
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