TY - CHAP M1 - Book, Section TI - ICU Ultrasonography A1 - Mayo, Paul A1 - Koenig, Seth A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. PY - 2015 T2 - Principles of Critical Care, 4e AB - Ultrasonography has multiple applications in critical care medicine. The development of high-quality portable bedside machines now allows the frontline intensivist to perform the ultrasonographic examination at the bedside of the critically ill patient. The results are applied for diagnostic purposes, to aid in the ongoing management of the patient, and for procedural guidance.The frontline intensivist who is in charge of the management of the patient in the intensive care unit (ICU) personally performs and interprets the ultrasound scan at the patient bedside. This requires mastery of image acquisition and interpretation as well as the cognitive elements of the field.Conceptually, ultrasonography is an extension of the standard physical examination, as it allows the clinician to directly assess the anatomy and function of the body in a manner that complements the traditional bedside physical examination. The examination may be limited or goal-directed in scope and repeated whenever there is clinical indication. The information derived from the scan is then integrated into the overall management plan.Ultrasonographic examination of the heart (goal-directed echocardiography), thorax (lung and pleura), abdomen (limited scope), and venous anatomy (deep vein thrombosis) are key elements of critical care ultrasonography. In addition, ultrasonography has major utility for guidance of vascular access, thoracentesis, paracentesis, and pericardiocentesis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1126247328 ER -