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Evaluation by Point of Care Ultrasound in Patients with Sepsis

Received: 22 March 2021     Accepted: 23 April 2021     Published: 30 April 2021
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Abstract

At present, point of care ultrasound (POCUs) is widely used in emergency and critical care disciplines, to realize the rapid diagnosis and evaluation of critical diseases such as dyspnea and shock. The rapid diagnosis and evaluation of critical diseases such as dyspnea and shock can provide a good reference for the development of anesthesiology and a rapid diagnostic tool for the perioperative critical diseases of respiratory or circulation disorders. Point of care ultrasound has the characteristics of real-time, dynamic, non-radiation and repeatability, so it has a good advantage in perioperative application. provide visual evidence for treatment, and promote perioperative treatment closer to the direction of evidence-based medicine. Point of care ultrasound has many simple and effective protocols for the diagnosis of critical diseases. The corresponding procedures can be selected according to different symptoms, and different procedures can also be combined to achieve the comprehensiveness and accuracy of the assessment, avoid missing important information, especially for emergency patients. Perioperative pulmonary edema leads to hypoxemia, etiology can be quickly identified and dynamically evaluated by point of care ultrasound, B-lines detected by lung sonography are signs of pulmonary interstitial syndrome. Point of care gastric ultrasound can effectively and reliably evaluate the nature and volume of gastric contents, and its clinical application can be extended to the evaluation of gastric contents in patients with delayed gastric emptied emergency, thus reducing the risk of perioperative reflux aspiration, point of care ultrasound provides visual evidence for perioperative decision making, ensure patient safety and improve outcomes.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 6, Issue 2)
DOI 10.11648/j.ijcocr.20210602.13
Page(s) 69-73
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Point of Care Ultrasound, Perioperative, Pulmonary Interstitial Syndrome, Gastric Content

References
[1] YU Yuan, SANG You. (2017) Protocols of point of care ultrasound in critically ill patients. Chinese Journal of Diagnostic Electronics, 5 (3): 154-157.
[2] Zhao Hua, Wang Xiaoting, Liu Dawei, Zhang Hongmin, He Huaiwu, Long Yun. (2015) Effects of critical ultrasonic management of Peking Union Medical College Hospital on the etiological diagnosis of patients with acute respiratory failure. Chin J Medicine, 95 (47): 3843-3847.
[3] Shi Di, Xu Jun, Zhu Huadong, Yu Xuezhong. (2017) Analysis of expert consensus on clinical practice of emergency ultrasound in shock of unknown cause. Chinese emergency medicine, 37 (5): 394-396.
[4] Moore CL, Copel JA. (2011) Point-OC-Care Ultrasonography, N Engl J M, 364 (8): 749-757.
[5] Giovanni Volpicell. (2020) Lung Ultrasound B-Lines in Interstitial Lung Disease -Moving From Diagnosis to Prognostic Stratification. Chest, 158 (4): 1323-1324.
[6] P. Van de Putte, A. Perlas. (2014) Ultrasound assessment of gastric content and volume. British Journal of Anaesthesia, 113 (1): 12–22.
[7] Yu Hong, Ze Peng, Yu Hai, Liu Jin. (2018) Perioperative ultrasound—the basic skill for anesthesists in new era. Journal of Clinical Anesthesiology, 34 (8): 814-826.
[8] P. Van de Putte, L. Vernieuwe, A. Perlas. (2019) Term pregnant patients have similar gastric volume to non-pregnant females: a single-centre cohort study. British Journal of Anaesthesia, 122 (1): 79-85.
[9] J. J. Moser, A. M. Walker, A. O. Spencer. (2017) Point-of-care paediatric gastric sonography: can antral cut-off values be used to diagnose an empty stomach? British Journal of Anaesthesia, 119 (5): 943–7.
[10] Peng Ge, Yalan Luo, Chukwuemeka Samuel Okoye, Haiyang Chen, Jiayue Liu, Guixin Zhang, Caiming Xu, Hailong Chen. (2020) Intestinal barrier damage, systemic inflammatory response syndrome, and acute lung injury: A troublesome trio for acute pancreatitis. Biomedicine & Pharmacotheraphy, 132: 1-13.
[11] Matthieu Jabaudon, ules Audard, Bruno Pereira, Samir Jaber, Jean-Yves Lefrant, Raiko Blondonnet, Thomas Godet, Emmanuel Futier, Céline Lambert, MSc; Jean-Etienne Bazin, Julie A. Bastarache, Jean-Michel Constantin, Lorraine B. Ware. (2020) Early Changes Over Time in the Radiographic Assessment of Lung Edema Score Are Associated With Survival in ARDS. CHEST, 158 (6): 2394-2403.
[12] Aron H. Ferreira, Antonio Pazin-Filho. (2020) Lung Ultrasound in a Patient With ARDS Secondary to Pancreatitis. CHEST, 158 (2): e85-e87.
[13] Dan1iel A. Lichtenstein. (2009) Lung Ultrasound in the Critically Ill.J Med Ultrasound, 17 (3): 125-142.
[14] Hatem S A, Marcelo H M. (2020) The Sound of Silence -The Power of Lung Ultrasound in the Interstitial-Alveolar Syndrome. JACC: CASE REPORTS, 2 (10): 1550-1552.
[15] K. El-Boghdadly, T. Wojcikiewicz, A. Perlas. (2019) Perioperative point-of-care gastric ultrasound. BJA Education, 19 (7): 219-226.
[16] D. Benhamou. (2015) Ultrasound assessment of gastric contents in the perioperative period: why is this not part of our daily practice? British Journal of Anaesthesia 114 (4): 545–8.
[17] Koenig SJ, Lakticova V, Mayo PH. (2011) Utility of ultrasonography for detection of gastric fluid during urgent endotracheal intubation. Intensive Care Med, 37: 627–31.
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Cite This Article
  • APA Style

    Zheng Xin, Xiong Ying, Wang Ni, Su Yang, Zhang Yanjun. (2021). Evaluation by Point of Care Ultrasound in Patients with Sepsis. International Journal of Clinical Oncology and Cancer Research, 6(2), 69-73. https://doi.org/10.11648/j.ijcocr.20210602.13

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    ACS Style

    Zheng Xin; Xiong Ying; Wang Ni; Su Yang; Zhang Yanjun. Evaluation by Point of Care Ultrasound in Patients with Sepsis. Int. J. Clin. Oncol. Cancer Res. 2021, 6(2), 69-73. doi: 10.11648/j.ijcocr.20210602.13

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    AMA Style

    Zheng Xin, Xiong Ying, Wang Ni, Su Yang, Zhang Yanjun. Evaluation by Point of Care Ultrasound in Patients with Sepsis. Int J Clin Oncol Cancer Res. 2021;6(2):69-73. doi: 10.11648/j.ijcocr.20210602.13

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  • @article{10.11648/j.ijcocr.20210602.13,
      author = {Zheng Xin and Xiong Ying and Wang Ni and Su Yang and Zhang Yanjun},
      title = {Evaluation by Point of Care Ultrasound in Patients with Sepsis},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {6},
      number = {2},
      pages = {69-73},
      doi = {10.11648/j.ijcocr.20210602.13},
      url = {https://doi.org/10.11648/j.ijcocr.20210602.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20210602.13},
      abstract = {At present, point of care ultrasound (POCUs) is widely used in emergency and critical care disciplines, to realize the rapid diagnosis and evaluation of critical diseases such as dyspnea and shock. The rapid diagnosis and evaluation of critical diseases such as dyspnea and shock can provide a good reference for the development of anesthesiology and a rapid diagnostic tool for the perioperative critical diseases of respiratory or circulation disorders. Point of care ultrasound has the characteristics of real-time, dynamic, non-radiation and repeatability, so it has a good advantage in perioperative application. provide visual evidence for treatment, and promote perioperative treatment closer to the direction of evidence-based medicine. Point of care ultrasound has many simple and effective protocols for the diagnosis of critical diseases. The corresponding procedures can be selected according to different symptoms, and different procedures can also be combined to achieve the comprehensiveness and accuracy of the assessment, avoid missing important information, especially for emergency patients. Perioperative pulmonary edema leads to hypoxemia, etiology can be quickly identified and dynamically evaluated by point of care ultrasound, B-lines detected by lung sonography are signs of pulmonary interstitial syndrome. Point of care gastric ultrasound can effectively and reliably evaluate the nature and volume of gastric contents, and its clinical application can be extended to the evaluation of gastric contents in patients with delayed gastric emptied emergency, thus reducing the risk of perioperative reflux aspiration, point of care ultrasound provides visual evidence for perioperative decision making, ensure patient safety and improve outcomes.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Evaluation by Point of Care Ultrasound in Patients with Sepsis
    AU  - Zheng Xin
    AU  - Xiong Ying
    AU  - Wang Ni
    AU  - Su Yang
    AU  - Zhang Yanjun
    Y1  - 2021/04/30
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    N1  - https://doi.org/10.11648/j.ijcocr.20210602.13
    DO  - 10.11648/j.ijcocr.20210602.13
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 69
    EP  - 73
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20210602.13
    AB  - At present, point of care ultrasound (POCUs) is widely used in emergency and critical care disciplines, to realize the rapid diagnosis and evaluation of critical diseases such as dyspnea and shock. The rapid diagnosis and evaluation of critical diseases such as dyspnea and shock can provide a good reference for the development of anesthesiology and a rapid diagnostic tool for the perioperative critical diseases of respiratory or circulation disorders. Point of care ultrasound has the characteristics of real-time, dynamic, non-radiation and repeatability, so it has a good advantage in perioperative application. provide visual evidence for treatment, and promote perioperative treatment closer to the direction of evidence-based medicine. Point of care ultrasound has many simple and effective protocols for the diagnosis of critical diseases. The corresponding procedures can be selected according to different symptoms, and different procedures can also be combined to achieve the comprehensiveness and accuracy of the assessment, avoid missing important information, especially for emergency patients. Perioperative pulmonary edema leads to hypoxemia, etiology can be quickly identified and dynamically evaluated by point of care ultrasound, B-lines detected by lung sonography are signs of pulmonary interstitial syndrome. Point of care gastric ultrasound can effectively and reliably evaluate the nature and volume of gastric contents, and its clinical application can be extended to the evaluation of gastric contents in patients with delayed gastric emptied emergency, thus reducing the risk of perioperative reflux aspiration, point of care ultrasound provides visual evidence for perioperative decision making, ensure patient safety and improve outcomes.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China

  • Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China

  • Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China

  • Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China

  • Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China

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