POCUS en cirugía cardíaca: revisión de la evidencia y experiencia institucional

Abstract: Point-of-care ultrasound (POCUS) has become an essential tool in the perioperative management of patients undergoing cardiac surgery. This narrative review analyzes recent evidence and institutional experience regarding the impact of POCUS on patient safety optimization, hemodynamic assessment, and real-time clinical decision-making. It explores the integration of POCUS with transesophageal (TEE) and transthoracic echocardiography (TTE), emphasizing its diagnostic and therapeutic value throughout the perioperative process. Significant clinical benefits are highlighted, including early detection of cardiovascular dysfunction and guidance in invasive procedures, as well as ongoing challenges related to standardization, operator training, and incorporation into complex surgical protocols. Strengthening perioperative ultrasound skills offers an opportunity to enhance patient safety, diagnostic accuracy, and overall efficiency in cardiovascular care.