martes, 23 de mayo de 2017

Ultrasonido pulmonar / Lung ultrasound

Mayo 23, 2017. No. 2697

Ultrasonido pulmonar para anestesia regional y el especialista en dolor agudo.
Lung Ultrasound for the Regional Anesthesiologist and Acute Pain Specialist.
Reg Anesth Pain Med. 2017 May/Jun;42(3):289-298. doi: 10.1097/AAP.0000000000000583.
In this article, we discuss the emerging role of lung point-of-care ultrasonography for regional anesthesiologists and pain management specialists. Lung ultrasonography is a well-established clinical tool that is used on a routine basis in emergency rooms and critical care units internationally to evaluate patients with respiratory distress; however, its benefits to the regional anesthesiologist and painspecialist are not as well known and are practiced less frequently. This review article covers the clinical evidence in support of lung point-of-care ultrasonography as a rapid and superior tool to traditional imaging modalities such as chest radiography and fluoroscopy. As anesthesiologists routinely perform nerve blocks that put patients at potential risk of complications such as pneumothorax or diaphragmatic paresis, it is important to understand how to use lung ultrasonography to evaluate for these conditions, as well as to differentiate between other potential causes of respiratory distress, such as interstitial syndrome and pleural effusions. This article describes the normal and pathological findings that can be used to quickly and confidently evaluate a patient for these conditions.
 ¿Puede la educación limitada del ultrasonido pulmonar ser realizada a estudiantes de medicina correctamente? Un estudio piloto
Can Limited Education of Lung Ultrasound Be Conducted to Medical Students Properly? A Pilot Study.
Lim JS1, Lee S1, Do HH1, Oh KH1.
Biomed Res Int. 2017;2017:8147075. doi: 10.1155/2017/8147075. Epub 2017 Mar 28.
Objectives. Lung ultrasonography (LUS) is a useful examination to identify lung problems. Unfortunately, there are currently no LUS educational programs for medical students. We designed a brief LUS training course for medical students during the ED rotation. The purpose of training was improving cognitive and psychomotor learning domains, knowledge of ultrasound, knowledge of LUS, image acquisition, and image interpretation. Methods. Forty students in their fourth year of medical school were enrolled in this study. Student achievement was evaluated through examinations of cognitive and psychomotor skills. A survey was administered following the training. Results. The average test result was 42.1 ± 13.7 before training and 82.6 ± 10.7 after training. With respect to the assessment of LUS performance, the acceptable rates for right and left anterior chest wall scanning and right and left posterolateral scanning were 95%, 97.5%, 92.5%, and 100%, respectively. The students felt a high level of confidence in their ability to administer LUS to patients after training and they agreed that inclusion of LUS training in the medical school curriculum is necessary. Conclusion. This study showed that, among the medical students without ultrasound experience, limited LUS education to improve their knowledge, image acquisition, and interpretation ability was successful.

IX Foro Internacional de Medicina del Dolor y Paliativa
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Ciudad de México, 8 al 10 de Junio
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Anestesiología y Medicina del Dolor

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