Home > Riviste > Minerva Anestesiologica > Fascicoli precedenti > Minerva Anestesiologica 2018 January;84(1) > Minerva Anestesiologica 2018 January;84(1):94-107

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

MINERVA ANESTESIOLOGICA

Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,623


eTOC

 

REVIEW  


Minerva Anestesiologica 2018 January;84(1):94-107

DOI: 10.23736/S0375-9393.17.12178-4

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Perioperative ultrasound applied to diagnosis and decision making in anesthesia

Nuno T. FERREIRA ALBUQUERQUE COSTA 1 , Carmen GOMAR SANCHO 2

1 Department of Anesthesiology, Resuscitation and Pain Treatment, Vic University Hospital, University of Barcelona, Barcelona, Spain; 2 Department of Anesthesiology, Resuscitation and Pain Treatment, Hospital Clinic, University of Barcelona, Barcelona, Spain


PDF  


INTRODUCTION: Ultrasound is a portable and safe technology that is increasingly used to assist anesthetic procedures and has been integrated into the routine practice of a wide range of invasive procedures. As a complementary diagnostic tool, publications related to perioperative support other than vascular access and nerve blocks are currently lacking.
EVIDENCE ACQUISITION: Given the growing interest of anesthesiologists in acquisition of knowledge and skills of ultrasound, we propose a systematic review of the diagnosis, decision making or change in perioperative management of non-cardiac surgical patients derived from ultrasound practice. Of 1112 references found in electronic databases, 62 studies resulted from the screening process.
EVIDENCE SYNTHESIS: A complete critical reading of 19 full-text publications was carried out with quantitative analysis of 1825 ultrasound examinations including echocardiography, neck and laryngeal ultrasound, pulmonary ultrasound and abdominal ultrasound, all of them performed by anesthesiologists. Diagnosis applied ultrasound and decision making during perioperative period resulted in change in the management of 31% with 95% CI of 21.06 to 42.04 and odds ratio of 2.68 (1.77 to 4.06) related to hemodynamic, airway and respiratory perioperative management.
CONCLUSIONS: Since most of the articles included in this review are observational studies with inherent design concerns, there is an urgent requirement for randomized controlled trials in this area. As anesthesiologists become more comfortable and knowledgeable in ultrasound applied to the perioperative support, emergence of protocols with multidisciplinary ultrasound exploration is expected to allow an improvement in perioperative safety.


KEY WORDS: Perioperative ultrasound - Anesthesia ultrasound - Perioperative echocardiography

inizio pagina

Publication History

Issue published online: January 12, 2018
Article first published online: October 4, 2017
Manuscript accepted: September 15, 2017
Manuscript revised: September 6, 2017
Manuscript received: May 15, 2017

Per citare questo articolo

Ferreira Albuquerque Costa NT, Gomar Sancho C. Perioperative ultrasound applied to diagnosis and decision making in anesthesia. Minerva Anestesiol 2018;84:94-107. DOI: 10.23736/S0375-9393.17.12178-4

Corresponding author e-mail

ntferreira@chv.cat