title: Ascending aortic dissection diagnosed with the use of point-of-care sonography. Case report.
abstract: The presented case of a patient in cardiogenic shock in the course of aortic dissection with concomitant cerebral circulation illustrates the effectiveness of sonography in the intensive care unit as a tool that aids the diagnostic process. Point-of-care sonography involves ultrasound assessment performed by the attending physician, being an integral part of a physical examination. A 67-year-old female was brought to the emergency department with a suspicion of stroke, comatose, with focal neurological deficits and was admitted to the intensive care unit due to circulatory and respiratory failure. Based on the findings from a bedside ultrasound examination, the diagnostic process was extended, and the patient was rapidly transferred to the department of cardiac surgery with diagnosed ascending aortic dissection. The case presented demonstrates how point-of-care sonography facilitates and accerelates the diagnostic process and speeds up the implementation of de finitive treatment thus affecting the patient's outcome.
authors.affiliation: The Czerniakowski Hospital, Anesthesiology and Intensive Care Unit, Warsaw, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Wierzejski
authors.affiliation: The Czerniakowski Hospital, Anesthesiology and Intensive Care Unit, Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Nowakowski
authors.affiliation: Central Clinical Hospital of the Ministry of Interior, Anesthesiology and Intensive Care Subunit of the Department of Cardiac Surgery, Warsaw, Poland.
authors.forename: Dominik
authors.initials: D
authors.lastname: Drobiński
keywords: aortic dissection; echocardiography; emergency medicine; intensive care; lung sonography