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My patient has no blood pressure: are they empty or full? Point-of-care ultrasound of the inferior vena cava in the hypotensive emergency department patient

机译:我的病人没有血压:他们是空的还是满的?低血压急诊科患者下腔静脉的即时护理超声

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Bedside, focused or point-of-care ultrasound (PoCUS) is becoming an established technique within emergency and criticalncare medicine to answer time-dependent, focused clinical questions. Bedside sonography is not a complete radiologicalninvestigation, rather an extension of the clinical examination to rule in or rule out key diagnoses in specific clinical settings.nPoCUS is geared to addressing highly time-dependent and focused questions, and in general most focused scansnbecome more obviously positive as the patient becomes increasingly unwell. In the hypotensive patient, one of the firstnquestions a clinician must address is whether the patient requires emergency fluid resuscitation. That is, is the patient under-nfilled or overloaded? So, how can we use ultrasound to add value to our clinical assessment of filling in the hypotensivenpatient?
机译:床头,聚焦或即时护理超声(PoCUS)已成为急诊和急诊医学中的一项既定技术,用于回答时间依赖性,聚焦临床问题。床旁超声检查不是一项完整的放射学检查,而是对临床检查的扩展,以排除或排除特定临床情况下的关键诊断。nPoCUS旨在解决高度依赖时间和重点的问题,并且通常最集中的扫描结果显然更加积极随着病人变得越来越不适。对于低血压患者,临床医生必须解决的第一个问题是患者是否需要紧急液体复苏。也就是说,患者是否未满或超负荷?因此,我们如何利用超声为低血压患者的充液临床评估增加价值?

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