Author/Editor | Bergauer, Andrej; Kobilica, Nina; Flis, Vojko | |
Title | Urgentni ultrazvok v rokah kirurga | |
Translated title | Emergency ultrasound in the hands of a surgeon | |
Type | članek | |
Source | In: Urgentna medicina: izbrana poglavja 2012 Ljubljana : Slovensko združenje za urgentno medicino | |
Publication year | 2012 | |
Volume | str. 43-47 | |
Language | slv | |
Abstract | Večino dela v urgentni kirurški ambulanti predstavljajo bolniki, ki niso neposredno življenjsko ogroženi, ali pa potrebujejo manjši kirurški poseg, ki ga je mogoče opraviti ambulantno. Skupna značilnost teh posegov je, da so praviloma opravljeni slepo, v večini primerov zgolj na podlagi anamneze, klinične slike, nativnega rentgenograma in omejenega nabora laboratorijskih preiskav. Druga skupna temeljna značilnost teh posegov pa je, da lahko ob zmotni indikaciji vodijo do hudih iatrogenih zapletov, ki lahko povzročijo urgentno stanje z znatno morbiditeto in mortaliteto. Prikazana je uporaba ultrazvoka pri teh indikacijah in posegih. Slaba podprtost z dokazi ni dokaz neuporabnosti, temveč priložnost za izvirno raziskovalno delo.Most of the patients in the emergency surgery clinic are not critically ill. Most of the time they require a limited surgical procedure that can be performed in the out-patient setting. Common denominator of the afore mentioned procedures is that they are usually performed without any or with very limited visual diagnostics (only plan X-ray). The decision and operative planning is based on clinical judgement and limited laboratory workup. Other common denominator of those procedures is that they can lead to serious iatrogenic complications with high morbidity or mortality. Use of ultrasound may avert that course of events. Relative paucity of evidence for the use of the ultrasound in this setting is not a proof of uselesness, but an opportunity for relevant research. | |
Descriptors | Ultrasonography Ultrasonografija Emergency Medicine Nujna medicina Ambulatory Surgical Procedures Ambulantni kirurški postopki |