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Clinical applications of point-of-care ultrasound in brain injury: a narrative review.
Anaesthesia ( IF 10.7 ) Pub Date : 2022-01-01 , DOI: 10.1111/anae.15604
M Dinsmore 1 , L Venkatraghavan 1
Affiliation  

The use of point-of-care ultrasound has increased considerably over the last two decades. It has become a readily available, non-invasive bed-side modality for the rapid diagnosis and management of patients in various settings. Point-of-care ultrasound for assessing the heart, lung, abdomen, airway and vascular systems is now well established. Transcranial Doppler ultrasound for assessing cerebral blood flow has been in use for many years. In recent years, brain ultrasonography has been shown to be a powerful tool in the rapid bed-side assessment of cerebral haemodynamics and structural pathology. Brain ultrasound has been shown to be useful in both the emergency department and neurocritical care setting for the non-invasive assessment of raised intracranial pressure, cerebral autoregulation and diagnosis of intracranial haematoma and other space-occupying lesions. Point-of-care ultrasound is an important alternative technique to routine imaging and invasive monitoring techniques, and results are comparable. Competence is easily attainable without formal radiology training. With technological advancement, applications for the use of brain ultrasound continue to grow. This review discusses the clinical use of point-of-care ultrasound in the diagnosis and management of brain injury.

中文翻译:

床旁超声在脑损伤中的临床应用:叙述性综述。

在过去的二十年中,床旁超声的使用显着增加。它已成为一种现成的、非侵入性的床边模式,用于在各种环境中对患者进行快速诊断和管理。用于评估心脏、肺、腹部、气道和血管系统的床旁超声现在已经很成熟。用于评估脑血流的经颅多普勒超声已使用多年。近年来,脑超声检查已被证明是快速床边评估脑血流动力学和结构病理学的有力工具。脑超声已被证明可用于急诊科和神经重症监护环境,用于无创评估颅内压升高,脑自动调节及颅内血肿等占位性病变的诊断。床旁超声是常规成像和侵入性监测技术的重要替代技术,其结果具有可比性。无需正式的放射学培训即可轻松获得能力。随着技术的进步,使用脑超声的应用继续增长。本综述讨论了床旁超声在脑损伤诊断和治疗中的临床应用。
更新日期:2022-01-01
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