Berrio-Valencia MI

Idioma: Ingles.
Referencias bibliográficas: 11
Paginas: 71-73
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RESUMEN

La incidencia de paro cardíaco asociado a la anestesia es de aproximadamente 5.6 por 10,000 casos y las causas son a menudo desconocidas. La ecocardiografía transesofágica es la modalidad de elección durante la inestabilidad hemodinámica no explicada; pero su utilidad es limitada por la necesidad de un entrenamiento extensivo del usuario. Por otra parte, el ultrasonido de superficie tiene la ventaja de requerimientos de entrenamiento más simples y ofrece la evaluación de múltiples órganos. Aunque su uso intraoperatorio es limitado por el pobre acceso al paciente y postoperatoriamente por los apósitos y el aire, ésta puede ser confiable si la ecocardiografía tran­s­esofágica no es posible.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Moitra VK, Einav S, Thies KC, Nunnally ME, Gabrielli A, Maccioli GA et al. Cardiac arrest in the operating room: resuscitation and management for the anesthesiologsit: Part 1. Anesth Analg. 2018;126:876-888.

2. Blanco P, Martínez Buendía C. Point-of-care ultrasound in cardiopulmonary resucitation: a concise review. J Ultrasound. 2017;20:193-198.

3. Porter TR, Shillcutt SK, Adams MS, Desjardins G, Glas KE, Olson JJ et al. Guidelines for the use of echocardiography as a monitor for therapeutic intervention in adults: A report from the American Society of Echocardiography. J Am Soc Echocardiogr. 2015;28:40-56.

4. Hu K, Gupta N, Teran F, Saul T, Nelson BP, Andrus P et al. Variability in interpretation of cardiac standstill among physician sonographers. Ann Emerg Med. 2018;71:193-198.

5. Long B, Alerhand S, Maliel K, Koyfman A. Echocardiography in cardiac arrest: an emergency medicine review. Am J Emerg Med. 2018;36:488-493.

6. Tsou PY, Kurbedin J, Chen YS, Chou EH, Lee MG, Lee MC. Accuracy of point-of- care focused echocardiography in predicting outcome of resuscitation in cardiac arrest patients: A systematic review and meta-analysis. Resuscitation. 2017;114:92-99.

7. Clattenburg EJ, Wroe P, Brown S, Gardner K, Losonczy L, Singh A et al. Point-of- care ultrasound use in patients with cardiac arrest is associated prolonged cardiopulmonary resuscitation pauses. A prospective cohort study. Resuscitation. 2018;122:65-68.

8. Gardner KF, Clattenburg EJ, Wroe P, Singh A, Mantuani D, Nagdev A et al. The Cardiac Arrest Sonographic Assessment (CASA) exam. A standardized approach to the use of ultrasound in PEA. Am J Emerg Med. 2018;36:729-731.

9. Aagaard R, Caap P, Hansson NC, Botker MT, Granfeldt A, Lofgren B. Detection of pulmonary embolism during cardiac arrest ultrasonographic findings should be interpreted with caution. Crit Care Med. 2017;45:e695-e702.

10. Atkinson P, Bowra J, Milne J, Lewis D, Lambert M, Jarman B. International Federation for Emergency Medicine Consensus Statement: Sonography in hypotension and cardiac arrest (SHoC): An international consensus on the use of point of care ultrasound for undifferentiated hypotension and during cardiac arrest. CJEM. 2017;19:459-470.

11. Breitkreutz R, Walcher F, Seeger FH. Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med. 2007;35:S150-161.