Utilidade do transdutor linear no paciente crítico: uma revisão narrativa
Contenido principal del artículo
Resumen
A utilização do ultrassom point-of-care já faz parte da rotina de atendimento de pacientes graves, sendo ele considerado o quinto pilar do exame físico e uma ferramenta essencial não só para diagnóstico e acompanhamento, mas também para a realização de procedimentos. Infelizmente, especialmente nos países em desenvolvimento, nem todos os Departamentos de Emergência e Terapia Intensiva possuem ultrassom equipado com múltiplos transdutores. Muitas vezes, apenas o transdutor linear para punção venosa central está disponível ou o próprio médico assistente carrega seu ultrassom portátil. Nosso objetivo com esta revisão narrativa foi descrever as diferentes possibilidades de utilização do transdutor linear em pacientes críticos.
Detalles del artículo

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
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1. Dudley NJ, Woolley DJ. A multicentre survey of the condition of
ultrasound probes. Ultrasound. 2016;24(4):190-7.
2. Pastore MC, Ilardi F, Stefanini A, Mandoli GE, Palermi S, Bandera F,
et al.; Working Group of Echocardiography of the Italian Society of
Cardiology. Bedside Ultrasound for Hemodynamic Monitoring in
Cardiac Intensive Care Unit. J Clin Med. 2022;11(24):7538.
3. Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF.
Ultrasound guidance versus anatomical landmarks for internal
jugular vein catheterization. Cochrane Database Syst Rev.
2015;1(1):CD006962.
4. Zawadka M, La Via L, Wong A, Olusanya O, Muscarà L, Continella
C, et al. Real-time ultrasound guidance as compared with landmark
technique for subclavian central venous cannulation: a systematic
review and meta-analysis with trial sequential analysis. Crit Care
Med. 2023;51(5):642-52.
5. Vincent JL, Cecconi M, De Backer D. The fluid challenge. Crit Care.
2020;24(1):703. 6. Wang J, Zhou D, Gao Y, Wu Z, Wang X, Lv C. Effect of VTILVOT
variation rate on the assessment of fluid responsiveness in septic
shock patients. Medicine (Baltimore). 2020;99(47):e22702.
7. Mohammadinejad P, Hossein-Nejad H. Calculation of corrected
flow time: Wodey’s formula vs. Bazett’s formula. J Crit Care
2017;44:154–5.
8. Barjaktarevic I, Toppen WE, Hu S, Aquije Montoya E, Ong S, Buhr
R, David IJ, Wang T, Rezayat T, Chang SY, Elashoff D, Markovic
D, Berlin D, Cannesson M. Ultrasound assessment of the
change in carotid corrected flow time in fluid responsiveness in
undifferentiated shock. Crit Care Med. 2018 Nov;46(11):e1040-6.
9. Jalil B, Thompson P, Cavallazzi R, Marik P, Mann J, El-Kersh K, et
al. Comparing changes in carotid flow time and stroke volume
induced by passive leg raising. Am J Med Sci. 2018;355(2):168-73.
10. Yin WH, Chen Y, Jin XD, Zuo YY, Kang Y, Wang B, et al.
[Measurement of peak velocity variation of common carotid artery
with bedside ultrasound to estimate preload in surgery ICU].
Sichuan Da Xue Xue Bao Yi Xue Ban. 2013;44(4):624-8. Chinese.
11. Ibarra-Estrada MÁ, López-Pulgarín JA, Mijangos-Méndez JC,
Díaz-Gómez JL, Aguirre-Avalos G. Respiratory variation in
carotid peak systolic velocity predicts volume responsiveness in
mechanically ventilated patients with septic shock: a prospective
cohort study. Crit Ultrasound J. 2015;7(1):29.
12. Melo RH, Santos MH, Ramos FJ. Beyond fluid responsiveness:
the concept of fluid tolerance and its potential implication in
hemodynamic management. Crit Care Sci. 2023;35(2):226-9.
13. Beaubien-Souligny W, Rola P, Haycock K, Bouchard J, Lamarche
Y, Spiegel R, et al. Quantifying systemic congestion with point-ofcare
ultrasound: development of the venous excess ultrasound
grading system. Ultrasound J. 2020;12:16.
14. Spiegel R, Teeter W, Sullivan S, Tupchong K, Mohammed N,
Sutherland M, et al. The use of venous Doppler to predict adverse
kidney events in a general ICU cohort. Crit Care. 2020;24(1):615.
15. Vaidya GN, Kolodziej A, Stoner B, Galaviz JV, Cao X, Heier K, et
al. Bedside ultrasound of the internal jugular vein to assess fluid
status and right ventricular function: The POCUS-JVD study. Am
J Emerg Med. 2023;70:151-6.
16. Hilbert T, Ellerkmann RK, Klaschik S, Putensen C, Thudium M.
The use of internal jugular vein ultrasonography to anticipate low
or high central venous pressure during mechanical ventilation. J
Emerg Med. 2016;50(4):581-7.
17. Bhardwaj V, Rola P, Denault A, Vikneswaran G, Spiegel R. Femoral
vein pulsatility: a simple tool for venous congestion assessment.
Ultrasound J. 2023;15(1):24.
18. Denault AY, Aldred MP, Hammoud A, Zeng YH, Beaubien-Souligny
W, Couture EJ, et al. Doppler Interrogation of the Femoral Vein in
the Critically Ill Patient: The Fastest Potential Acoustic Window
to Diagnose Right Ventricular Dysfunction? Crit Care Explor.
2020;2(10):e0209.
19. Ketelaars R, Gülpinar E, Roes T, Kuut M, van Geffen GJ. Which
ultrasound transducer type is best for diagnosing pneumothorax?
Crit Ultrasound J. 2018;10(1):27.
20. Husain LF, Hagopian L, Wayman D, Baker WE, Carmody KA.
Sonographic diagnosis of pneumothorax. J Emerg Trauma Shock.
2012;5(1):76-81
21. DeMasi S, Parker MS, Joyce M, Mulligan K, Feeser S, Balderston
JR. Thoracic point-of-care ultrasound is an accurate diagnostic
modality for clinically significant traumatic pneumothorax. Acad
Emerg Med. 2023;30(6):653-61.
22. Smit MR, de Vos J, Pisani L, Hagens LA, Almondo C, Heijnen NF,
et al.; DARTS Consortium. Comparison of Linear and Sector Array
Probe for Handheld Lung Ultrasound in Invasively Ventilated ICU
Patients. Ultrasound Med Biol. 2020;46(12):3249-56.
23. Nazerian P, Gigli C, Reissig A, Pivetta E, Vanni S, Fraccalini T, et al.;
WINFOCUS and US SIMEU study group. Retrospective analysis
of the diagnostic accuracy of lung ultrasound for pulmonary
embolism in patients with and without pleuritic chest pain.
Ultrasound J. 2022;14(1):35. 24. Volpicelli G, Cardinale L, Berchialla P, Mussa A, Bar F, Frascisco MF.
A comparison of different diagnostic tests in the bedside evaluation
of pleuritic pain in the ED. Am J Emerg Med. 2012;30:317-24.
25. Squizzato A, Rancan E, Dentali F, Bonzini M, Guasti L, Steidl L, et al.
Diagnostic accuracy of lung ultrasound for pulmonary embolism:
a systematic review and meta-analysis. J Thromb Haemost.
2013;11(7):1269-78.
26. Parada-Gereda HM, Tibaduiza AL, Rico-Mendoza A, Molano-
Franco D, Nieto VH, Arias-Ortiz WA, et al. Effectiveness of
diaphragmatic ultrasound as a predictor of successful weaning
from mechanical ventilation: a systematic review and metaanalysis.
Crit Care. 2023;27(1):174.
27. Llamas-Álvarez AM, Tenza-Lozano EM, Latour-Pérez J. Diaphragm
and lung ultrasound to predict weaning outcome. Chest.
2017;152:1140-50.
28. Li C, Li X, Han H, Cui H, Wang G, Wang Z. Diaphragmatic
ultrasonography for predicting ventilator weaning: a metaanalysis.
Medicine (Baltimore). 2018;97:e10968.
29. Carsetti A, Sorbello M, Adrario E, Donati A, Falcetta S. Airway
ultrasound as predictor of difficult direct laryngoscopy: a systematic
review and meta-analysis. Anesth Analg. 2022;134(4):740-50.
30. Lin J, Bellinger R, Shedd A, Wolfshohl J, Walker J, Healy J, et al.
Point-of-care ultrasound in airway evaluation and management: a
comprehensive review. Diagnostics (Basel). 2023;13(9):1541.
31. Bhargava V, Rockwell NA, Tawfik D, Haileselassie B, Petrisor C, Su E.
Prediction of difficult laryngoscopy using ultrasound: a systematic
review and meta-analysis. Crit Care Med. 2023;51(1):117-26.
32. Malato A, Dentali F, Siragusa S, Fabbiano F, Kagoma Y, Boddi M,
et al. The impact of deep vein thrombosis in critically ill patients:
a meta-analysis of major clinical outcomes. Blood Transfus.
2015;13(4):559-68.
33. Roberts L, Rozen T, Murphy D, Lawler A, Fitzgerald M, Gibbs H,
et al. A preliminary study of intensivist-performed DVT ultrasound
screening in trauma ICU patients (APSIT Study). Ann Intensive
Care. 2020;10(1):122.
34. Pomero F, Dentali F, Borretta V, Bonzini M, Melchio R, Douketis JD,
et al. Accuracy of emergency physician-performed ultrasonography
in the diagnosis of deep-vein thrombosis: a systematic review and
meta-analysis. Thromb Haemost. 2013;109(1):137-45.
35. Divittorio R, Bluth EI, Sullivan MA. Deep vein thrombosis:
diagnosis of a comon clinical problem. Ochsner J. 2002;4(1):14-7.
36. Fernando SM, Tran A, Cheng W, Rochwerg B, Taljaard M,
Kyeremanteng K, et al. Diagnosis of elevated intracranial pressure
in critically ill adults: systematic review and meta-analysis. BMJ.
2019;366:l4225.
37. Koziarz A, Sne N, Kegel F, Nath S, Badhiwala JH, Nassiri F, et al.
Bedside optic nerve ultrasonography for diagnosing increased
intracranial pressure: a systematic review and meta-analysis. Ann
Intern Med. 2019;171(12):896-905.
38. Du J, Deng Y, Li H, Qiao S, Yu M, Xu Q, et al. Ratio of optic nerve
sheath diameter to eyeball transverse diameter by ultrasound can
predict intracranial hypertension in traumatic brain injury patients:
a prospective study. Neurocrit Care. 2020;32(2):478-85.
39. Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF.
Ultrasound guidance versus anatomical landmarks for internal
jugular vein catheterization. Cochrane Database Syst Rev.
2015;1(1):CD006962.
40. Lalu MM, Fayad A, Ahmed O, Bryson GL, Fergusson DA, Barron
CC, et al.; Canadian Perioperative Anesthesia Clinical Trials Group.
Ultrasound-Guided Subclavian Vein Catheterization: A Systematic
Review and Meta-Analysis. Crit Care Med. 2015;43(7):1498-507.
41. Saugel B, Scheeren TWL, Teboul JL. Ultrasound-guided
central venous catheter placement: a structured review and
recommendations for clinical practice. Crit Care. 2017;21(1):225.
42. Roberts ME, Rahman NM, Maskell NA, Bibby AC, Blyth KG,
Corcoran JP, et al.; BTS Pleural Guideline Development Group.
British Thoracic Society Guideline for pleural disease. Thorax.
2023;78(Suppl 3):s1-s42.