Impacto de la ultrasonografía a la cabecera del paciente sobre la toma de decisiones en servicio de urgencias.
DOI:
https://doi.org/10.18041/2665-427X/ijeph.2.9983Palabras clave:
ultrasonido, shock, insuficiencia respiratoria aguda, paro cardiovascular , POCUS, RUSH, BLUE, CAUSEResumen
Introducción: El ultrasonido a la cabecera del paciente o POCUS por sus siglas en inglés (point of care ultrasonography), es una estrategia que ha permitido a médicos no expertos integrar esta tecnología en servicios de urgencias, cuidado crítico, e incluso salas de hospitalización general.
Objetivo: Proporcionar una evaluación integral y crítica de la literatura disponible sobre POCUS en el servicio de urgencias, entendiendo sus fortalezas y las brechas en la base del conocimiento actual sobre su utilidad en la practica clínica.
Métodos: Se realizó una sinopsis y revisión de la literatura de acuerdo con la ponencia presentada en el Congreso de la Asociación Colombiana de Medicina Interna (ACMI) - Capítulo Valle, Universidad Libre: “Un enfoque multidisciplinario con visión latinoamericana” los días 13 y 14 de mayo de 2022.
Resultados: El uso de POCUS en el servicio de urgencias a través de diferentes protocolos como el RUSH (Rapid Ultrasound in Shock), BLUE (Bedside lung ultrasound in emergency) y CAUSE (Cardiac arrest ultrasound exam) por sus siglas en inglés, ha demostrado una mejoría en la precisión diagnóstica, tiempo de detección y cambio en las conductas en comparación con la anamnesis y exploración física habitual.
Conclusión: El POCUS es una herramienta valiosa que permite acelerar la toma de decisiones, mejorar la precisión diagnóstica, guiar intervenciones y mejorar los resultados de los pacientes en los servicios de emergencias.
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