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Whole body ultrasound in the operating room and intensive care unit

  • Denault, Andre (Department of Anesthesiology and Critical Care Medicine, Faculte de Medecine, Universite de Montreal, Institut de Cardiologie de Montreal, and Centre Hospitalier de l'Universite de Montreal) ;
  • Canty, David (Department of Surgery, University of Melbourne) ;
  • Azzam, Milene (Department of Anesthesiology, Jewish General Hospital, McGill University Faculty of Medicine) ;
  • Amir, Alexander (Department of Anesthesiology, Montreal General Hospital, McGill University Faculty of Medicine) ;
  • Gebhard, Caroline E. (Department of Anesthesiology and Intensive Care Medicine, University Hospital Basel)
  • Received : 2019.05.03
  • Accepted : 2019.05.23
  • Published : 2019.10.01

Abstract

Whole body ultrasound can be used to improve the speed and accuracy of evaluation of an increasing number of organ systems in the critically ill. Cardiac and abdominal ultrasound can be used to identify the mechanisms and etiology of hemodynamic instability. In hypoxemia or hypercarbia, lung ultrasound can rapidly identify the etiology of the condition with an accuracy that is equivalent to that of computed tomography. For encephalopathy, ocular ultrasound and transcranial Doppler can identify elevated intracranial pressure and midline shift. Renal and bladder ultrasound can identify the mechanisms and etiology of renal failure. Ultrasound can also improve the accuracy and safety of percutaneous procedures and should be currently used routinely for central vein catheterization and percutaneous tracheostomy.

Keywords

References

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