- citati u SCIndeksu: 0
- citati u CrossRef-u:0
- citati u Google Scholaru:[
 ]
- posete u poslednjih 30 dana:16
- preuzimanja u poslednjih 30 dana:13
|
|
|
2019, vol. 41, br. 7-8, str. 189-193
|
|
Fokusirani ultrazvuk srca - FoCUS
Focused cardiac ultrasound: FoCUS
aKlinički centar Srbije, Klinika za kardiologiju, Beograd bKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd cKlinički centar Srbije, Centar za radiologiju i magnetnu rezonancu, Beograd dKlinički centar Srbije, Centar za radiologiju i magnetnu rezonancu, Beograd + Univerzitet u Beogradu, Medicinski fakultet eKlinički centar Srbije, Centar za prijem i zbrinjavanje urgentnih stanja – Urgentni centar, Beograd fKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd + Univerzitet u Beogradu, Medicinski fakultet
e-adresa: opetrovic1976@gmail.com
Sažetak
Fokusirani ultrazvuk srca (Focused cardiac ultrasound - FoCUS) definiše se kao point-of-care ultrazvučni pregled srca koji se izvodi prema standardizovanom, ali restriktivnom protokolu, a sa ciljem brzog utvrđivanja etiologije srčane disfunkcije. Poslednjih godina je upotreba fokusirane ehokardiografije sve više zastupljena među lekarima različitih specijalnosti, posebno intenzivne medicine, anesteziologije i urgentne medicine, jer za njeno izvođenje nije neophodna praksa specijalizovanog ultrazvuka srca, već je dovoljan adekvatan FoCUS trening. Dok se kod klasičnog ultrazvučnog pregleda srca obavlja set merenja, osnovi cilj FoCUS pregleda je da na osnovu brze orijentacije da odgovor na hitna klinička pitanja - da li postoji perikardni izliv i preteća tamponada, da li je srčana funkcija oslabljena, normalna ili pojačana, da li je cirkulišući volumen adekvatan? Upravo zato je pogodan u urgentnim stanjima kod kojih je potrebno brzo donošenje kliničke odluke, kao što su trauma, bol u grudima, hipotenzija, dispnea. Fokusirani ultrazvuk srca je integrisan u algoritam naprednih mera kardiopulmonalne reanimacije. Za razliku od osnovnog FoCUS pregleda, napredni FoCUS podrazumeva detaljniji pregled i daje podatke o disfunkciji valvula, segmentnom ispadu kinetike, znacima opterećenja desnog srca, disekciji grudne aorte. Osnovni FoCUS pregled ne podrazumeva ni merenja ni korišćenje doplera.
Abstract
Focused cardiac ultrasound (FoCUS) is defined as pointof-care ultrasound examination, preformed according to a standardized, but restricted, scanning protocol in order to quickly determine the etiologies of cardiac dysfunction. The use of focused cardiac ultrasound has grown over recent years, and is increasingly being performed by intensivists, anesthesiologists and emergency medicine doctors appropriately trained in FoCUS, not necessarily trained in comprehensive echocardiography. While classic echocardiography uses a set of measurements, the main goal of focused cardiac ultrasound based on rapid orientation is to answer on urgent clinical questions - if there is pericardial effusion and threatening tamponade, whether cardiac function is impaired, normal or enhanced, if the circulating volume is adequate. In addition, FoCUS is suitable in urgent conditions where a clinical decision needs to be made quickly, such as trauma, chest pain, hypotension, and dyspnea. Focused cardiac ultrasound is integrated in the advanced cardiovascular life support algorithm. Unlike the basic FoCUS, advanced FoCUS involves a more detailed examination and provides data on valvular dysfunction, segmental kinetics failure, signs of right heart loading, thoracic aortic dissection. The basic FoCUS does not involve measuring or using Doppler.
|
|
|
|
Reference
|
|
  
|
Fletcher, S.N., Grounds, R.M. (2012) III. Critical care echocardiography: Cleared for take up. British Journal of Anaesthesia, 109(4): 490-492
|
|
|
Hall, D.P., Jordan, H., Alam, S., Gillies, M.A. (2017) The impact of focused echocardiography using the focused intensive care echo protocol on the management of critically ill patients, and comparison with full echocardiographic studies by BSE-accredited sonographers. Journal of the Intensive Care Society, 18(3): 206-211
|
|
|
Mohamed, A.A., Arifi, A.A., Omran, A. (2010) The basics of echocardiography. Journal of the Saudi Heart Association, 22(2): 71-76
|
|
|
Nagre, A.S. (2019) Focus-assessed transthoracic echocardiography: Implications in perioperative and intensive care. Annals of Cardiac Anaesthesia, 22(3): 302-308
|
|
|
Nešković, A.N., Hagendorff, A., Lancellotti, P., Guarracino, F., Varga, A., Cosyns, B., Flachskampf, F.A., Popescu, B.A., Gargani, L., Zamorano, J.L., Badano, L.P. (2013) Emergency echocardiography: The European association of cardiovascular imaging recommendations. European Heart Journal - Cardiovascular Imaging, 14(1): 1-11
|
|
1
|
Nešković, A.N., Edvardsen, T., Galderisi, M., Garbi, M., Gullace, G., Jurcut, R., Dalen, H., Hagendorff, A., Lancellotti, P., Popescu, B.A., Sicari, R., Stefanidis, A. (2014) Focus cardiac ultrasound: The European association of cardiovascular imaging viewpoint. European Heart Journal - Cardiovascular Imaging, 15(9): 956-960
|
|
1
|
Nešković, A.N., Skinner, H., Price, S., Via, G., de Hert, S., Stanković, I., Galderisi, M., Donal, E., Muraru, D., Sloth, E., Gargani, L., Cardim, N., Stefanidis, A., Cameli, M., Habib, G. (2018) Focus cardiac ultrasound core curriculum and core syllabus of the European association of cardiovascular imaging. European Heart Journal - Cardiovascular Imaging, 19(5): 475-481
|
|
|
Spencer, K.T., Kimura, B.J., Korcarz, C.E., Pellikka, P.A., Rahko, P.S., Siegel, R.J. (2013) Focused cardiac ultrasound: Recommendations from the American society of echocardiography. Journal of the American Society of Echocardiography, 26(6): 567-581
|
|
|
Via, G., Hussain, A., Wells, M., Reardon, R., Elbarbary, M., Noble, V.E., i dr. (2014) International evidence-based recommendations for focused cardiac ultrasound. Journal of the American Society of Echocardiography, 27(7):683.e1-.e33
|
|
|
Weinhaus, A.J., Roberts, K.P. (2005) Anatomy of the Human Heart. u: Handbook of Cardiac Anatomy, Physiology, and Devices, Totowa, p. 51-79
|
|
|
Wiley, B., Mohanty, B. (2014) Handheld ultrasound and diagnosis of cardiovascular disease at the bedside. Journal of the American College of Cardiology, 64(2): 229-230
|
|
|
|
|