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  1. Artikel ; Online: Minute Zero: an essential assessment in peri-operative ultrasound for anaesthesia.

    Segura-Grau, Elena / Antunes, Pedro / Magalhães, Juliana / Vieira, Inęs / Segura-Grau, Ana

    Anaesthesiology intensive therapy

    2022  Band 54, Heft 1, Seite(n) 80–84

    Abstract: In recent years, ultrasonography has gained unmatched importance in medical practice. After the initial use for central vascular access placement and regional anaesthesia, its application has expanded to airway, ocular, abdominal, lung and cardiac ... ...

    Abstract In recent years, ultrasonography has gained unmatched importance in medical practice. After the initial use for central vascular access placement and regional anaesthesia, its application has expanded to airway, ocular, abdominal, lung and cardiac ultrasound, with the concept of point of care ultrasound (POCUS) gaining acceptability and applicability in the most diverse situations. In fact, it has recently been acclaimed as the fifth pillar to bedside evaluation [1]. Performing a POCUS-guided eva-luation has proved to be of value in emergency medicine, with studies demonstrating improved diagnosis and better outcomes [2]. Similarly, in critical care, systematic ultrasound evaluation has been shown to decrease the use of conventional diagnostic imaging tools and time on mechanical ventilation and improve the management of fluid therapy [3]. Recognition of the benefit of ultrasound evaluation in the perioperative period has been increasing. In fact, the need to master clinical ultrasound evaluation has led the Canadian anaesthesiology academic centres to issue recommendations regarding the scope of practice and required training for perioperative POCUS [4].
    Mesh-Begriff(e) Anesthesia ; Anesthesiology ; Canada ; Humans ; Point-of-Care Systems ; Ultrasonography/methods
    Sprache Englisch
    Erscheinungsdatum 2022-03-18
    Erscheinungsland Poland
    Dokumenttyp Letter
    ISSN 1731-2531
    ISSN (online) 1731-2531
    DOI 10.5114/ait.2022.112886
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Reinforcing the valuable role of gastric ultrasound for volume and content assessment: an observational study.

    Segura-Grau, Elena / Segura-Grau, Ana / Ara Jo, Ricardo / Payeras, Guillermo / Cabral, Jorge / Afreixo, Vera

    Brazilian journal of anesthesiology (Elsevier)

    2021  Band 72, Heft 6, Seite(n) 749–756

    Abstract: Background: Pulmonary aspiration is one of the most important complications in anesthesiology. Assessment of gastric content by ultrasound is a good method to quantify gastric volume and to determine the risk of intraoperative pulmonary aspiration. The ... ...

    Abstract Background: Pulmonary aspiration is one of the most important complications in anesthesiology. Assessment of gastric content by ultrasound is a good method to quantify gastric volume and to determine the risk of intraoperative pulmonary aspiration. The aim of this study is to determine the accuracy of the gastric ultrasonography in the qualitative analysis of gastric content, mainly in the analysis of small amounts of liquid content.
    Methods: Gastric ultrasound was performed to 36 patients before upper gastrointestinal endoscopy (UGI), making two longitudinal scans at the epigastric level, one in supine position and the other in right lateral decubitus position, measuring two diameters and the area of the gastric antrum and assessing the content characteristics determining whether it was an empty stomach or contained fluid or solid content. Subsequently, the ultrasound findings were compared with UGI findings.
    Results: Gastric areas were analyzed by the trace and the lengths of the craniocaudal and anteroposterior axes concluding that there are no significant differences between the two methods. No statistically significant difference was found between UGI and US assessment technics. No statistically significant difference was found between the estimated volume by UGI and US.
    Conclusions: Though our study has some limitations, qualitative analysis of gastric content using ultrasound followed by endoscopy enabled the conclusion that there are no differences in the qualitative assessment regarding these two techniques, supporting the important role of point-of-care gastric ultrasound (POCGUS) in the assessment of pulmonary aspiration risk by the anesthesiologist in the perioperative period.
    Mesh-Begriff(e) Humans ; Prospective Studies ; Stomach/diagnostic imaging ; Gastrointestinal Contents/diagnostic imaging ; Pyloric Antrum/diagnostic imaging ; Ultrasonography/methods
    Sprache Englisch
    Erscheinungsdatum 2021-07-26
    Erscheinungsland Brazil
    Dokumenttyp Observational Study ; Journal Article
    ISSN 2352-2291
    ISSN (online) 2352-2291
    DOI 10.1016/j.bjane.2021.07.008
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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