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2014 ; 14
(59
): 406-13
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Standards of the Polish Ultrasound Society Ultrasound examination in
anesthesiology and intensive care
#MMPMID26674460
Andruszkiewicz P
J Ultrason
2014[Dec]; 14
(59
): 406-13
PMID26674460
show ga
This article has been prepared on the basis of the Ultrasonography Standards of
the Polish Ultrasound Society (2011) and updated based on the latest findings and
reports. Various applications of ultrasonography are used in anesthesiology and
intensive therapy both for diagnosis and as a supportive tool during invasive
procedures (such as vascular cannulation or regional anesthesia). Ultrasound
examinations performed by anesthesiologists in intensive care units are not
detailed scans, but they are focused on immediate identification of pathologies
that lead to life-threatening conditions. Performing repeated US exams in time
intervals enables a physician to monitor the effectiveness of the instituted
treatment. Many simplified protocols are used in clinical practice which help to
systemize the examination. Focused US examination should be verified by a
physician competent in this imaging method as soon as possible. Due to the
specificity of anesthesiologists' practice and spatial limitations of operating
rooms and intensive care units, portable robust ultrasound equipment with short
power-on to scanning time is preferable. A growing number of indications show
that ultrasound machine should be equipped with three basic transducers (linear,
convex and sector), and in higher-reference centers with a transesophageal probe.
The specificity of certain procedures guided by ultrasonography requires
adherence to safety measures, e.g. full sterility condition during vein
cannulation.