|
Zaključek
“What is emergency department (ED) ultrasound all about?
An ultrasound probe in the hands of the clinician is the stethoscope of the 21st century. It is noninvasive; it
is safe; and when used appropriately, it can be another tool with which to perform certain focused aspects of
the physical examination.”
Kendall, Bakes (23)
Urgentni UZ je v urgentno medicino vnesel neslutene možnosti obravnave kritično bolnega ali
poškodovanega: Z osredotočenim, dihotomnim pristopom (patološko stanje prisotno?: DA/NE)
pomembno izboljšuje in nadgrajuje sistematični ABCDE pristop in zaporedje dodatnih postopkov
oživljanja. Preiskava je zaradi majhnih a zmogljivih aparatov vse širše tehnično in cenovno dostopna, ne
potrebuje posebne priprave, ne dodatnih stroškov, ne seva in je lahko ponovljiva, zato je
idealno
orodje
sedanjosti, v vsakem okolju ki se srečuje z kritično bolnimi ali poškodovanimi, na terenu ali bolnišnici, za
vse ki so se v omejenem, a osredotočenem obsegu pripravljeni naučiti relativno majhnega števila
specifičnih znakov in postopkov. Ultrazvok v rokah urgentnega zdravnika rešuje življenja!
Literatura
1.
Fox JC. Clinical Emergency Radiology. Cambridge University Press; 2008
2.
ACEP Policy Statement. Emergency Ultrasound Guidelines. Dosegljivo na www.acep.org
3.
Beck-Razi N, Gaitani D. Focused Assessment with Sonography for Trauma. Ultrasound Clinics 2008; 3:23-31
4.
Ma OJ, Mateer JR. Emergency Ultrasound. McGraw-Hill: New York 2003
5.
Plummer D, Clinton J, Matthew B. Emergency Department Ultrasound Improves time to Diagnosis and Survival
in Ruptured Abdominal Aortic Aneurysm. Acad Emerg Med. 1998; 5:417
6.
Lyon et al. Sonographic measurement of the inferior vena cava as a marker of blood loss. Am J Emerg Med 2005,
23(1): 45-50
7.
Nagdev et al. Emergency department bedside ultrasonographic measurement of the caval index for
noninvasive determination of low central venous pressure. Ann Emerg Med 2010, 55: 290-5
8.
Gruber PJ, Silverman RA, Gottesfeld S, Flaster E. Presence of fever and leukocytosis in acute cholecystitis. Annals
of emergency medicine 1996, 28 (3):273-7
9.
Singer AJ, McCracken G, Henry MC, Thode HC, Cabahug CJ. Correlation among clinical, laboratory, and
hepatobiliary scanning findings in patients with suspected acute cholecystitis. Annals of emergency medicine
1996, 28 (3):267-72
10. Noble VE, Brown DFM. Renal ultrasound. Emerg Med Clinics North Am 2004, 22 (3):641-659
11. Leslie MS. Ultrasound Evaluation of the Lower Extremity Veins. Ultrasound Clinics 2010: 4 (2):193-216
12. Lensing AW, Prandoni P, Brandjes D. Detection of deep-vein thrombosis by real-time B-mode ultrasonography.
N Eng J Med 1989, 320:342-345
13.
Bernardi E, Camporese G, Buller HR, Siragusa S, Imberti D, Berchio A, Ghirarduzzi A et al. Serial 2-point
ultrasonography plus D-dimer vs whole-leg color-coded Doppler ultrasonography for diagnosing suspected
symptomatic deep vein thrombosis: a randomized controlled trial. JAMA 2008, 300 (14):1653-9
14. Johnson SA, Stevens SM, Woller SC, Lake E, Donadini M, Cheng J, Labarere J et al. Risk of deep vein thrombosis
following a single negative whole-leg compression ultrasound: a systematic review and meta-analysis. JAMA
2010, 303 (5):438-45
15. Lichtenstein DA, Menu Y. A Bedside Ultrasound Sign Ruling Out Pneumothorax in the Critically III: Lung Sliding.
Chest 1995, 108:1345-1345
16. Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the
BLUE protocol. Chest 2008, 134 (1):117-25
17. Blumenkranz MS, Byrne SF. Standardized echography (ultrasonography) for the detection and characterization
of retinal detachment, Ophthalmology 1982, 89:821–831.
18. Soldatos T, Karakitsos D, Chatzmichail K, Papathanasiou M, Gouliamos A, Karabinis A. Optic nerve sonography
in the diagnostic evaluation of adult brain injury. Crit Care 2008, 12 (3): R67
19. National Institute for Health and Clinical Excellence (National Health Service UK). NICE Guideline: TA49 Central
venous catheters - ultrasound locating devices: Guidance. 2005 Ed.
Do'stlaringiz bilan baham: |
