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Korean J Anesthesiol > Epub ahead of print
DOI: https://doi.org/10.4097/kja.19186    [Epub ahead of print]
Published online June 4, 2019.
Whole body ultrasound in the operating room and the intensive care unit
André Denault1, David Canty2, Milène Azzam3, Alexander Amir4, Caroline E. Gebhard5
1Faculté de Médecine, Université de Montréal, Institut de Cardiologie de Montréal, and Centre Hospitalier de l’Université de Montréal, Montreal, Canada
2Department of Surgery, University of Melbourne; Honorary Associate Professor, Department of Medicine, Monash University; Consultant Anaesthetist, Monash Medical Centre, Clayton, Melbourne, Australia
3Faculty of Medicine, McGill University, Jewish General Hospital, Montreal, Canada
4Faculty of Medicine, McGill University, Montreal General Hospital, Montreal, Canada
5Department of Anesthesiology and Intensive Care Medicine, University Hospital Basel, Basel, Switzerland
Corresponding author:  André Denault, Tel: 514 376-3330,, Fax: 514 376-1355, 
Email: andre.denault@umontreal.ca
Received: 3 May 2019   • Accepted: 23 May 2019
Abstract
Whole body ultrasound can be used to improve speed and accuracy of evaluation of an increasing number of organ systems in the critically ill. Cardiac and abdominal ultrasound can be used to identify the mechanisms and etiology of hemodynamic instability. In hypoxemia or hypercarbia, lung ultrasound can rapidly identify the etiology with accuracy that is equivalent to computed tomography. For encephalopathy, ocular ultrasound and transcranial Doppler can identify elevated intracranial pressure and midline shift. Renal and bladder ultrasound can identify mechanisms and etiology of renal failure. Ultrasound can also improve accuracy and safety of percutaneous procedures and should be currently used routinely for central vein catheterisation and percutaneous tracheostomy.
Key Words: Abdominal ultrasound; Cardiac ultrasound; Lung ultrasound; Optic nerve sheath; Renal ultrasound; Transcranial Doppler; Whole body ultrasound


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