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Journal of Medical Ultrasonics

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2019 - Vol.46

Vol.46 No.01

State of the Art(特集)

(0039 - 0045)


Point-of-care ultrasound in intensive care

野村 岳志, 清野 雄介, 西周 佑美, 吉田 拓也, 福井 公哉

Takeshi NOMURA, Yusuke SEINO, Yumi SAISHU, Takuya YOSHIDA, Kimiya FUKUI

東京女子医科大学 集中治療科

Department of Intensive Care Medicine, Tokyo Women's Medical University

キーワード : critical care ultrasound, shock management, lung ultrasound, transcranial color flow imaging, ultrasound education


Use of point-of-care ultrasound (POCUS) has become widespread in management of the critically ill. About two decades ago, sonographic evaluation in intensive care was limited to a small number of intensivists. However, with recent advances in ultrasound equipment, POCUS can now be easily used by intensivists. POCUS has become an indispensable diagnostic method for the respiratory, abdominal, vascular, and also central nervous system in the intensive care unit (ICU). ICU patients benefit greatly from POCUS, which can be done at the bedside, because it is often difficult to transport patients to the CT examination room during artificial respiration, renal replacement therapy, and so forth. It is also available for urgent examinations. I am convinced that use of POCUS will continue to spread as a diagnostic method in the ICU going forward. Education of doctors on POCUS techniques will also be very important. I think adding ultrasound diagnosis to the curriculum of medical students or residents should be considered. In this review article, I discuss the POCUS examinations now carried out, the future potential of POCUS, and also the education of intensivists on POCUS.