Perioperative ultrasound applied to diagnosis and decision making in anesthesia

Costa, Nuno T Ferreira Albuquerque; Sancho, Carmen Gomar

doi:10.23736/s0375-9393.17.12178-4

Cited by 11 publications

(7 citation statements)

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“…Ambos cuadrantes superiores abdominales laterales también pueden examinarse en búsqueda de derrames pleurales. En el quirófano, el uso de ecografía trans esofágica (ETE) será útil para detec- tar líquido pleural, atelectasia o neumonía, pero es más limitada en la detección del deslizamiento pulmonar 22 .…”

Section: Ecografía Pulmonarunclassified

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Aplicaciones actuales de la ultrasonografía en anestesia

Gutiérrez¹

2023

Alerta (San Salvador)

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La ecografía es una herramienta segura, portátil, económica y de fácil acceso. Los médicos anestesiólogos pueden beneficiarse con esta herramienta diagnóstica rápida y precisa en su práctica habitual. Existen múltiples áreas potenciales donde la ecografía desempeña un papel importante, para la orientación de intervenciones a ciegas e invasivas, el diagnóstico de condiciones críticas y la evaluación de posibles variaciones anatómicas que pueden conducir a la modificación del plan anestésico. Esta revisión narrativa describe las principales aplicaciones de la ecografía en anestesia, las técnicas ecoguiadas y las tendencias actuales del manejo anestésico perioperatorio del paciente quirúrgico. Se realizó una búsqueda en las bases de datos PubMed y Cochrane, se incluyeron artículos originales, estudios aleatorizados y de revisión, en español y en inglés, publicados entre 2017-2021. El uso de ecografía ha entrado en el campo de la medicina del dolor, anestesia regional y del intervencionismo analgésico durante la última década, e incluso es el estándar de la práctica, por tanto, la capacitación y un adecuado aprendizaje en la ecografía deben ser parte del plan de estudios de cualquier programa de anestesiología.

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Section: Ecografía Pulmonarunclassified

“…La identificación del movimiento diafragmático también permite excluir una parálisis diafragmática completa, después de procedimientos como el bloqueo interescalénico, la cirugía abdominal alta o la manipulación de la arteria mamaria interna en una cirugía de bypass coronario 22 .…”

Section: Ecografía Pulmonarunclassified

Aplicaciones actuales de la ultrasonografía en anestesia

Gutiérrez¹

2023

Alerta (San Salvador)

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“…As described in many papers, the perioperative point of care ultra-sonography value is particularly evident in emergent cases and in unstable patients, since it provides useful information for decision making [ 14 , 17 , 18 ]. However, its scope of interest lies beyond complications or emergent situations.…”

Section: Abdominal Ultrasoundmentioning

confidence: 99%

Minute Zero: an essential assessment in peri-operative ultrasound for anaesthesia

Segura‐Grau¹,

Antunes²,

Magalhães³

et al. 2022

ait

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Section: Introductionmentioning

confidence: 99%

“…However, it remains unclear whether changes in anaesthesia strategy and perioperative management, as direct consequences of FOCUS, result in a more favourable patient outcome. 8 , 9 , 10 Therefore, the objective of this study was to evaluate whether the information gained from preoperative FOCUS and conveyed to perioperative personnel would change patient treatment and, consequently, improve clinical outcomes in high‐risk patients. Our primary hypothesis was that the clinical information gained from preoperative FOCUS changes perioperative patient treatment and thereby reduces the fraction of patients admitted to hospital for more than 10 days or death within 30 days after high risk, non‐cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

The effects of preoperative focused cardiac ultrasound in high‐risk patients: A randomised controlled trial (PREOPFOCUS)

Pallesen

Bhavsar

Fjølner

et al. 2022

Acta Anaesthesiol Scand

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Background: Surgery is the third most common cause of mortality worldwide.Focused cardiac ultrasound (FOCUS) yields information on cardiac status and discloses the presence of unknown pathology. Preoperative FOCUS changes patient treatment, allowing for a patient-tailored anaesthesia. We hypothesised that preoperative FOCUS would reduce the proportion of patients who were either admitted to hospital for more than 10 days or who were dead within 30 days after high-risk, noncardiac surgery.Methods: This was a randomised, controlled, multi-center study. Patients ≥65 years of age, admitted for urgent orthopaedic-or abdominal surgery, scheduled for general-or neuraxial anaesthesia and with ASA 3/4 were eligible for inclusion.Patients were randomised in a 1:1 ratio to preoperative FOCUS or no preoperative FOCUS performed in accordance with a predefined protocol. Primary endpoint was the proportion of patients admitted more than 10 days or who were dead within 30 days. Secondary endpoints included major complications, days of admission and changes in anaesthesia handling.Results: During the second COVID-19 wave the study monitoring committee terminated the study prematurely. We included 338 patients of which 327 were included in the final analysis. In the FOCUS group, 41/163 (25%) patients met the criteria for the primary endpoint versus 35/164 (21%) for the control group, adjusted odds ratio 1.37 (95% CI 0.86-2.30), p = .36. The proportions of patients who developed major complications did not differ significantly between groups. Length of hospital stay was 4 (3-8) days in the FOCUS group and 4 (3-7) days on the control group (adjusted p = .24).Jan Pallesen and Rajesh Bhavsar contributed equally to the work.

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Perioperative ultrasound applied to diagnosis and decision making in anesthesia

Cited by 11 publications

References 0 publications

Aplicaciones actuales de la ultrasonografía en anestesia

Aplicaciones actuales de la ultrasonografía en anestesia

Minute Zero: an essential assessment in peri-operative ultrasound for anaesthesia

The effects of preoperative focused cardiac ultrasound in high‐risk patients: A randomised controlled trial (PREOPFOCUS)

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