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J. Cardiothorac. Vasc. Anesth. · Aug 2021
Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal.
- Huma Fatima, Yannis Amador, Daniel P Walsh, Nada Qaisar Qureshi, Omar Chaudhary, Syed Hamza Mufarrih, Ruma R Bose, Feroze Mahmood, and Robina Matyal.
- Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Centre, Harvard Medical School, Boston, MA.
- J. Cardiothorac. Vasc. Anesth. 2021 Aug 1; 35 (8): 2273-2282.
AbstractDespite the valuable use of modern applications of perioperative ultrasound across multiple disciplines, there have been limitations to its implementation, restricting its impact on patient-based clinical outcomes. Point-of-care ultrasound evaluation of hypoxia and hypotension is an important tool to assess the underlying undifferentiated etiologies in a timely manner. However, there is a lack of consensus on the formal role of ultrasound during evaluation of perioperative hypoxia or hypotension. The previous ultrasound algorithms have adopted a complex technique that possibly ignore the pathophysiologic mechanisms underlying the conditions presenting in a similar fashion. The authors here propose a simple, sequential and focused multiorgan approach, applicable for the evaluation of perioperative hypotension and hypoxia in emergency scenarios. The authors believe this approach will enhance the care provided in the postanesthesia care unit, operating room, and intensive care unit.Copyright © 2021. Published by Elsevier Inc.
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