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Bedside Ultrasonography in the ICU^*

Part 2

^* From the Division of Cardiology and Critical Care (Dr. Beaulieu), Hôpital Sacré-Coeur de Montréal, Université de Montréal, Montréal, Québec, Canada; and Division of Pulmonary and Critical Care Medicine (Dr. Marik), Thomas Jefferson University, Philadelphia, PA.

Correspondence to: Yanick Beaulieu, MD, Division of Cardiology and Critical Care Medicine, Hôpital Sacré-Coeur de Montréal, 5400 boul. Gouin O., Montreal, Quebec, Canada, H4J 1C5; e-mail: ybeaulieu71{at}videotron.ca

This is the second of a two-part review on the application of bedside ultrasonography in the ICU. In this part, the following procedures will be covered: (1) echocardiography and cardiovascular diagnostics (second part); (2) the use of bedside ultrasound to facilitate central-line placement and to aid in the care of patients with pleural effusions and intra-abdominal fluid collections; (3) the role of hand-carried ultrasound in the ICU; and (4) the performance of bedside ultrasound by the intensivist. The safety and utility of bedside ultrasonography performed by adequately trained intensivists has now been well demonstrated. This technology, as a powerful adjunct to the physical examination, will become an indispensable tool in the management of critically ill patients.

Key Words: bedside ultrasonography • cardiac function • central line cannulation • critically ill • hand-carried ultrasound • ICU • paracentesis • thoracocentesis • transesophageal echocardiography • transthoracic echocardiography

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