Introdução: O Point-of-Care-Ultrasound (POCUS) trata-se da ultrassonografia transtorácica realizada à beira-leito do paciente. A aparelhagem, além de ser portátil, é de fácil aplicação e interpretação de seus achados. A sua utilização tem sido relacionada à melhora propedêutica e terapêutica de casos conduzidos em distintos setores intra-hospitalares. Métodos: Realizou-se uma revisão integrativa da literatura com busca no PubMed. Utilizou-se 14 artigos, selecionados a partir dos descritores “lung ultrasound”, “POCUS”, “respiratory failure” e “heart failure”, encontrados no MesH. Foram selecionados: metanálises, estudos controlados randomizados e revisões sistemáticas, em inglês, publicados entre 2012 e 2022. Resultados: As vantagens mais citadas foram: facilidade do manuseio, fornecimento de dados em tempo real e disponibilidade à beira-leito. As linhas B são o achado mais validado, apresentando em um trabalho 85% de sensibilidade e 91% de especificidade para insuficiência cardíaca (IC) e 100% de sensibilidade e de valor preditivo negativo para a exclusão do pneumotórax. A quantificação dessas consegue predizer a descompensação da IC (>15) e risco de hospitalização e morte (>30) em Centros de Terapia Intensiva. No intra operatório da cardiologia pediátrica, um estudo randomizado com 122 crianças demonstrou haver menos eventos adversos relacionados à dessaturação no grupo intervenção (55% versus 73%). Conclusões: A utilização do POCUS em ambiente hospitalar tem se mostrado de grande valia em diferentes setores. Alguns de seus achados, como as slinhas B, estão cada vez mais elucidados e demonstram alto potencial diagnóstico e propedêutico, permitindo intervenções terapêuticas mais precocemente. Mais estudos são necessários para melhorar a validação de seus achados.
De Souza, I. B., Aguiar, Y. C. de ., Sousa, K. K. de ., Oliveira, R. R. de A. R., & Napoli, A. E. R. (2022). VALOR DO POINT-OF-CARE ULTRASOUND (POCUS) EM DISTINTAS SITUAÇÕES DE INSUFICIÊNCIA CARDÍACA E RESPIRATÓRIA : UMA REVISÃO DE LITERATURA. Revista Multidisciplinar Em Saúde, 238–244. https://doi.org/10.51161/rems/3601
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