期刊文献+

加强麻醉科住院医师围手术期重症超声技术 被引量:3

Strengthening Perioperative Severe Ultrasound Technique for Anesthesiologists
下载PDF
导出
摘要 超声技术因具有安全、无创、实时、动态和可视化等多方面的优势使其在临床工作中得到广泛应用。重症超声是以超声技术为基础,逐渐发展形成的新理念。重症超声在围术期中不仅能作为常规的评估手段,更是在危急时刻可弥补其他检查的不足。针对重症患者,以问题为导向,多目标整合的动态评估,能够快速有效的做出判断,指导临床工作。随着重症超声理念的提出、推广及普及,麻醉学科做为临床学科的重要分支,紧随新医疗、新技术步伐,为患者保驾护航,更是责无旁贷。做为麻醉科住院医师,熟识重症超声基本理念,掌握重症超声技术则是一项基本要求,加强麻醉科住院医师围手术期重症超声技术势在必行。 Ultrasonic technology has been widely used in clinical anesthesia because of its safe,non-invasive,real-time,dynamic and visualization.Severe ultrasound is a new concept based on ultrasound technology.Severe ultrasound can not only be used as a routine evaluation method during perioperative period,but also can make up for the deficiency of other examinations in critical time.For severe patients,a dynamic assessment of multiobjective integration,which can be problem-oriented,can quickly and effectively make judgments and guide clinical work.With the introduction,promotion and popularization of the concept of severe ultrasound,the anesthesia discipline is an important branch of the clinical discipline,closely following the pace of new medical treatment and new technology,and it is duty-bound to protect patients.As an anesthesiologist,I am familiar with the basic concept of severe ultrasound.Mastering severe ultrasound technology is a basic requirement.It is imperative to strengthen the perioperative period of severe ultrasound technology for anesthesiologists.
作者 马育 高燕凤 谭敬 张超 王强 MA Yu;GAO Yanfeng;TAN Jing;ZHANG Chao;WANG Qiang(Department of Anesthesia and Operation,The First Affiliated Hospital of Xi’an Jiaotong University,Xi'an Shaanxi 710061,China;Department Two of Anesthesia and Operation,Honghui Hospital,Xi'an Shaanxi 710061,China)
出处 《中国继续医学教育》 2020年第30期78-82,共5页 China Continuing Medical Education
关键词 急诊 重症 麻醉科 住院医师 围手术期 超声技术 教育 emergency severe anesthesiology department resident perioperative period ultrasonic technique education
  • 相关文献

参考文献14

二级参考文献54

  • 1Vincent JL,De Backer D. Circulatory shock[ J]. N Engl J Med, 2013,369 ( 18 ) : 1726-1734. DOI : 10. 1056/NEJMra1208943.
  • 2Sakr Y, Reinhart K, Vincent JL, et al. Does dopamine administration in shock inf luence outcome? Results of the sepsis occurrence in acutely ill patients (SOAP) study[ J]. Crit Care Med, 2006, 34 ( 3 ) : 589-597. DOI: 10. 1097/01. CCM. 0000201896. 45809. E3.
  • 3Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine [ J ]. Intensive Care Med, 2014,40(12) : 1795-1815. DOI: 10. 1007/s00134 -014- 3525-z.
  • 4Feissel M, Michard F, Failer JP, et al. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy [ J ]. Intensive Care Med,2004,30(9) : 1834-1837. DOI: 10. 1007/ s00134-004-2233-5.
  • 5Slama M, Masson H, Teboul JL, et al. Respiratory variations of aortic VTI:a new index of hypovolemia and fluid responsiveness [J]. Am J Physiol Heart Cire Physiol, 2002,283 (4) : H1729- 1733. DOI:10. 1152/ajpheart. 00308. 2002.
  • 6Ommen S, Nishimura R, Appleton C, et ai. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressure: a comparative simultaneous Doppler- catheterization study [ J ]. Circulation, 2000,102( 15 ) : 1788-1794.
  • 7Garela MIM, Romero MG, Carlo AG, et al. Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration : a validation study [ J ]. Critical Care, 2014, 18 (6) :1-11. DOI:10. 1186/s13054-014-0626-6.
  • 8Liehtenstein D, Karakitsos D . Integrating lung ultrasound in the hemodynamic evaluation of acute circulatory failure (the fluid administration limited by lung sonography protocol) [ J ]. J Crit Care,2012,27(5) : e11-19. DOI: 10. 1016/j. jcrc. 2012. 03. 004.
  • 9Darmon M, Sehortgen F, Vargas F, et ai. Diagnostic accuracy of Doppler renal resistive index for reversibility of acute kidney injury in critically ill patients [ J ]. Intensive Care Med,2011,37 ( 1 ) :68- 76. DOI: 10. 1007/s00134-010-2050-y.
  • 10Schnell D, Camous L, Guyomarc' H S, et al. Renal perfusion assessment by renal Doppler during fluid challenge in sepsis [ J ]. Crit Care Med,2013,41 (7) : 1214-1220. DOI : 10. 1097/CCM. 0bO13e31827c0a36.

共引文献174

同被引文献34

引证文献3

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部