Lung Ultrasound in Thoracic Anesthesia: Which Uses?

Bignami, Elena; Maffezzoni, Massimo

doi:10.1053/j.jvca.2020.08.070

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The invention of pulse oximetry, capnography, ultrasound, development of short-acting and liver-or renal-independent medications (esmolol, remifentanil, etc. ), and a novel pharmacological method to reverse anesthesia (sugammadex) are advances behind the more modern successes of anesthesia (Figure 1) [2][3][4][5][6]. Improved workflows, safety procedures (checklists, simulations), and maintaining a high level of professional competency have also had a pivotal role in improving outcomes [7][8][9].…”

Section: New Paradigm Of Anesthesia Carementioning

confidence: 99%

Quo Vadis Anesthesiologist? The Value Proposition of Future Anesthesiologists Lies in Preserving or Restoring Presurgical Health after Surgical Insult

Laudański

2022

JCM

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Anesthesiology is an indispensable and ubiquitous field of modern healthcare. Advancements in delivering anesthesia result in a very low rate of anesthesia-related mortality, improved morbidity, and increased patient satisfaction. However, peri-surgical stress may trigger profound and lasting effects on the patient’s physiology, resulting in the emergence of a new allostatic balance. Such a balance may have variable effects on the patient’s recovery. However, in some individuals, the emergence of the new allostatic balance is delayed for years yet ultimately results in a less favorable outcome due to an increased risk of comorbidities. These changes are secondary to a single critical care grade insult such as significant tissue destruction, blood loss, alteration in microbiota with the possible leak of the inflammatory pathogen-associated molecular pattern (PAMP), and the induction of catabolism. Preparing patients for such stress is a novel requirement for anesthesiologists to expand their scope of practice in healthcare delivery by eliminating pre-existing stressors (smoking, obesity, substance abuse) and preconditioning patients to stress using pharmacological and nanotechnology means. Perioperative care should employ a human brain interface for more efficient care delivery and an early warning for excessive damage. Postsurgical care can involve the modification of the immune and metabolic system response. Selected techniques should include utilizing genome expression manipulation, multi-omics analysis, and predictive algorithms. Integration of these techniques into a per-operative recovery data-driven delivery system with the targeted goal of recovering presurgical homeostasis instead of allostatic recovery may represent a perfect nexus for future anesthesiologists.

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Section: New Paradigm Of Anesthesia Carementioning

confidence: 99%

Quo Vadis Anesthesiologist? The Value Proposition of Future Anesthesiologists Lies in Preserving or Restoring Presurgical Health after Surgical Insult

Laudański

2022

JCM

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Point-of-care Ultrasound (POCUS) for the Regional Anesthesiologist

Arumugam,

Kolli,

Brakoniecki

et al. 2024

Curr Anesthesiol Rep

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Purpose of Review Application of ultrasound in clinical anesthesia practice extends beyond regional anesthesia. In this review, we have discussed other point-of-care applications of ultrasound in perioperative care and anesthetic management with emphasis on regional anesthesia practice. Recent Findings Point-of-care ultrasound (POCUS) for anesthesiologists has gained widespread interest and popularity. Recent literature has highlighted multiple perioperative POCUS applications on various organ systems and their benefits. In this section, we have analyzed the recent available data and evidence for perioperative POCUS for airway, gastric contents and trauma, its applications, benefits, and limitations in perioperative medicine. Summary Perioperative POCUS skill is a natural extension of ultrasound guided regional anesthesia. Utilizing POCUS in the perioperative period would accelerate the level of appropriate care, safety, and improve outcomes. More anesthesiologists embracing POCUS would enhance patient care in a timely fashion. POCUS in regional anesthesia practice, including ambulatory centers, can be valuable in avoiding delay or cancellation of surgeries and improving patient satisfaction.

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Lung Ultrasound in Thoracic Anesthesia: Which Uses?

Cited by 2 publications

References 13 publications

Quo Vadis Anesthesiologist? The Value Proposition of Future Anesthesiologists Lies in Preserving or Restoring Presurgical Health after Surgical Insult

Quo Vadis Anesthesiologist? The Value Proposition of Future Anesthesiologists Lies in Preserving or Restoring Presurgical Health after Surgical Insult

Point-of-care Ultrasound (POCUS) for the Regional Anesthesiologist

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