肺部超声在全麻手术围手术期的应用进展
【摘要】 随着麻醉学与围手术医学的发展,麻醉不仅关注患者术中无痛及安全,更加关注术后舒适顺利恢复和患者长期转归,尤其是各种术后并发症的防治。因此,单纯依赖麻醉学知识和技能是不够的,提升和拓展专业知识水平和技能是根本。肺部超声作为一种无创、简单、便携、无辐射的技术已越来越多的应用于全麻患者围手术期,不仅用于术前困难气道的诊断和确定气管导管位置,以及术中指导肺复张,个体化呼气末正压设置,还可以尽早发现和管理机械通气下的呼吸系统并发症,并指导成功撤机。肺部超声可以提高手术患者围手术期的安全,促进患者康复,不仅作为诊断工具,而且作为监测工具。【关键词】 肺超声 肺部超声B线 呼气末正压 机械通气 术后肺部并发症
Advances in the Use of Lung Ultrasound in the Perioperative Period of General Anesthesia Surgery/YU Mengchu, LI Guili, LIU Shuai, LI Qinhou, ZHANG Weiwei. //Medical Innovation of China, 2024, 21(30): -183
[Abstract] With the development of anesthesiology and perioperative medicine, anesthesia is not only concerned with painless and safe intraoperative patients, but also with comfortable and smooth postoperative recovery and long-term regression of patient, especially the prevention and treatment of various postoperative complications. Therefore, it is not enough to rely solely on anesthesiology knowledge and skills; it is fundamental to improve and expand the level of professional knowledge and skills. Pulmonary ultrasound as a non-invasive, simple, portable and radiation-free technique has been increasingly used in the perioperative period for general anesthesia patients ......
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