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OVERALL BOTTOM LINE
ОглавлениеBedside US is a safe, non‐invasive diagnostic procedure that allows rapid evaluation of undifferentiated hypotension and identification of reversible causes of shock. It is also a useful tool for promptly excluding immediately life‐threatening emergencies.
The focused assessment using sonography for trauma (FAST) exam is the standard of care in the initial evaluation of trauma patients with hypotension or signs of shock. Until recently, there was no standardized sonographic approach for evaluating the critically ill medical patient.
In 2009, the American College of Chest Physicians produced a consensus statement describing competence in critical care US. The components of critical care US the intensivist should achieve competence in for routine ICU operations include the following:Critical care echocardiography.Pleural ultrasonography.Lung ultrasonography.Abdominal ultrasonography.Vascular ultrasonography: guidance of vascular access and diagnosis of venous thrombosis.