Ultrasonography in the Anaesthesia Department
Ultrasonography (USG) has become an indispensable tool in modern anaesthetic practice. Its real-time imaging capability enhances patient safety and improves procedural accuracy.
Role in Regional Anaesthesia
Ultrasonography allows direct visualization of nerves, blood vessels, and surrounding structures, making nerve blocks safer and more effective. Compared to traditional landmark-based techniques, ultrasound-guided blocks offer faster onset, reduced drug volume, and fewer complications.
Vascular Access Guidance
Ultrasound-guided central and peripheral venous cannulation significantly reduces the risks of complications like arterial puncture, hematoma, and pneumothorax. It enhances first-pass success rates, especially in patients with difficult anatomy.
Airway Assessment
USG aids in evaluating airway anatomy, predicting difficult intubation, and confirming endotracheal tube placement. It can also be used in identifying the cricothyroid membrane for emergency airway access.
Assessment of Gastric Content
Preoperative gastric ultrasound helps in assessing the risk of aspiration by evaluating stomach contents, especially in emergency and high-risk patients. This information guides the anaesthetic plan and fasting status.
Cardiac and Pulmonary Applications
Point-of-care ultrasound (POCUS) allows rapid assessment of cardiac function, volume status, and lung pathology. It supports decision-making in perioperative and critical care settings.
Conclusion
Ultrasonography has revolutionized anaesthesia practice, offering real-time, non-invasive, and dynamic insights. With ongoing advancements and increased accessibility, it continues to improve the safety and quality of anaesthetic care.
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