Head to toe ultrasound: Current opinion on its role in hemodynamic instability, hypoxemia, oligoanuria and the patient with altered neurological status

  • André Yvan Denault Department of Anesthesiology, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.
  • Catalina Casas Department of Anesthesia and Perioperative Medicine, London Health Sciences and St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada.
  • Wilfredo Puentes Department of Anesthesia and Perioperative Medicine, London Health Sciences and St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada.
  • Roberto Eljaiek Department of Anesthesiology, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.
  • Ivan Iglesias Department of Anesthesia and Perioperative Medicine, London Health Sciences and St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada.
Keywords: Ultrasound, Mortality, Critical Illness, Delirium, Renal insufficiency, Echocardiography

Abstract

Introduction:

Bedside ultrasound is now more commonly used in anesthesiology and critical care. There are numerous applications beyond its role in regional anesthesia and vascular access.

Objective:

To describe how bedside ultrasound can be integrated to current clinical management is dealingwith hemodynamicallyunstable, hypoxemic, oligoanuric patient and in the patient with altered neurological status.

Material and methods:

Essay article describing a synthesis of the current literature, expert opinion, currentpracticeand recentclinicaltrials in the developmentofproposed algorithm dealing with the use of bedside ultrasound in the management hemodynamic instability and hypoxemia.

Results:

Three algorithms currently used in the hemodynamically unstable and the hypox-emic patient and the patient are described. In addition, a simple bedside ultrasound approach to oligoanuria and altered neurological status is proposed.

Conclusion:

Further studies incorporating head-to-toe bedside ultrasound by trained clinicians will need to be validated but are likely to demonstrate the significant advantages of incorporating bedside ultrasound in the practice of anesthesiology and critical care.

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How to Cite
1.
Denault AY, Casas C, Puentes W, Eljaiek R, Iglesias I. Head to toe ultrasound: Current opinion on its role in hemodynamic instability, hypoxemia, oligoanuria and the patient with altered neurological status. Colomb. J. Anesthesiol. [Internet]. 2017Oct.1 [cited 2021Apr.22];45(4):317–326. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/559

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Published
2017-10-01
How to Cite
1.
Denault AY, Casas C, Puentes W, Eljaiek R, Iglesias I. Head to toe ultrasound: Current opinion on its role in hemodynamic instability, hypoxemia, oligoanuria and the patient with altered neurological status. Colomb. J. Anesthesiol. [Internet]. 2017Oct.1 [cited 2021Apr.22];45(4):317–326. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/559
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