pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2023-1-27-34pmj-2466Research ArticleОБЗОРЫREVIEWSОценка органной перфузии и волемического статуса с помощью ультразвукаEvaluation of organ perfusion and intravascular volume status by ultrasoundhttps://orcid.org/0000-0002-3498-4023ЗозуляМ. В.ZozulyaM. V.

Зозуля Мария Васильевна – врач – анестезиолог-реаниматолог клиник СЗГМУ им. И.И. Мечникова

191015, г. Санкт-Петербург, ул. Кирочная, д. 41

Maria V. Zozulya, anesthesiologist of the clinics of the North-Western State Medical University named after I.I. Mechnikov

41 Kirochnaya str., St. Petersburg, 191015

ЛенькинА. И.LenkinA. I.

Санкт-Петербург

Saint-Petersburg

Северо-Западный государственный медицинский университет им. И.И. МечниковаРоссияNorth-Western State Medical University named after I.I. MechnikovRussian Federation202313042023012734Copyright © Зозуля М.В., Ленькин А.И., 20232023Зозуля М.В., Ленькин А.И.Zozulya M.V., Lenkin A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2466

Представлен обзор литературы, посвященный ультразвуковому мониторингу волемического статуса и органной перфузии у пациентов в критическом состоянии, определению чувствительности к инфузионной нагрузке с помощью допплерометрических показателей кровотока в периферических артериях. Обосновывается надежность и точность этих параметров, их соответствие показателям, полученным методами препульмональной и транспульмональной термодилюции. Рассматриваются технические аспекты ультразвукового исследования данных параметров.

This review article is devoted to ultrasound monitoring of intravascular volume status and organ perfusion in critically ill patients. In particular, approaches to determination of fluid responsiveness using Doppler-estimated blood flow in peripheral arteries are discussed. The reliability and accuracy of these parameters are substantiated by their comparison with the parameters obtained by prepulmonary and transpulmonary thermodilution methods. The technicalities of ultrasound examination of the abovementioned parameters are considered.

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The authors declare that there are no conflicts of interest present.