Ultrasound during Advanced Life Support—Help or Harm?

Author:

Goudie Adrian1ORCID,Blaivas Michael2ORCID,Horn Rudolf3,Lien Wan-Ching45,Michels Guido6,Wastl Daniel7ORCID,Dietrich Christoph Frank8ORCID

Affiliation:

1. Department of Emergency Medicine, Fiona Stanley Hospital, Murdoch 6150, Australia

2. Department of Medicine, University of South Carolina School of Medicine, Columbia, SC 29209, USA

3. Center da sandà Val Müstair, Santa Maria, 7537 Val Müstair, Switzerland

4. Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei 10617, Taiwan

5. Department of Emergency Medicine, National Taiwan University Hospital, Taipei 10617, Taiwan

6. Notfallzentrum, Krankenhaus der Barmherzigen Brüder Trier, 54292 Trier, Germany

7. Krankenhaus Nordwest, 60488 Frankfurt, Germany

8. Department Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Beau Site, Salem und Permanence, 3013 Bern, Switzerland

Abstract

Ultrasound is used in cardiopulmonary resuscitation (CPR) and advanced life support (ALS). However, there is divergence between the recommendations of many emergency and critical care societies who support its use and the recommendations of many international resuscitation organizations who either recommend against its use or recommend it only in limited circumstances. Ultrasound offers potential benefits of detecting reversable causes of cardiac arrest, allowing specific interventions. However, it also risks interfering with ALS protocols and increasing unhelpful interventions. As with many interventions in ALS, the evidence base for ultrasound use is weak, and well-designed randomized trials are needed. This paper reviews the current theory and evidence for harms and benefits.

Publisher

MDPI AG

Reference70 articles.

1. Visualization of cardiac valve motion in man during external chest compression using two-dimensional echocardiography. Implications regarding the mechanism of blood flow;Werner;Circulation,1981

2. Faculty of Intensive Care Medicine (2021). ICM Curriculum, Faculty of Intensive Care Medicine.

3. College of Intensive Care Medicine of Australia and New Zealand (2016). Statement on the Role of Echocardiography in Intensive Care Medicine, College of Intensive Care Medicine of Australia and New Zealand.

4. Australasian College for Emergency Medicine (2022). The Use of Focused Ultrasound in Emergency Medicine, Australasian College for Emergency Medicine.

5. Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part II: Cardiac Ultrasonography;Levitov;Crit. Care Med.,2016

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3