Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

Despite 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 t...

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Bibliographic Details
Published in:Journal of cardiothoracic and vascular anesthesia 2021-08, Vol.35 (8), p.2273-2282
Main Authors: Fatima, Huma, Amador, Yannis, Walsh, Daniel P., Qureshi, Nada Qaisar, Chaudhary, Omar, Mufarrih, Syed Hamza, Bose, Ruma R., Mahmood, Feroze, Matyal, Robina
Format: Article
Language:English
Subjects:
Algorithms
cardiac anesthesia
Humans
hypotension
Hypotension - diagnosis
Hypotension - etiology
hypoxia
Hypoxia - diagnostic imaging
Hypoxia - etiology
Intensive Care Units
transthoracic echocardiogram
Ultrasonography
ultrasound
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Summary:Despite 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.
ISSN:1053-0770
1532-8422
DOI:10.1053/j.jvca.2021.04.009