Resumo

BERRIO-VALENCIA, Marta Inés. Perioperative POCUS when the heart stops: futility or utility?. Rev. mex. anestesiol. [online]. 2022, vol.45, n.1, pp.71-73.  Epub 13-Jun-2022. ISSN 0484-7903.  https://doi.org/10.35366/102907.

The incidence of cardiac arrest associated with anesthesia is approximately 5.6 per 10,000 cases and the precipitating causes are often known. Transesophageal echocardiography is the modality of choice during unexplained hemodynamic instability or cardiac arrest; but its utility is limited by the need of extensive user training. On the other hand, surface ultrasound has the advantage of simpler user training requirements and offers evaluation of multiple organs. Although its use intraoperatively is limited by poor access to the patient, and postoperatively by dressing and air, it still can be feasible if transesophageal echocardiography is not possible. This manuscript develops a protocol for using POCUS during a cardiac arrest, and emphasizes practical tips for image acquisition and communication of its interpretation.

Palavras-chave : Point-of care ultrasound; heart arrest; perioperative.