Pelliccia Francesco, Palmiero Pasquale, Maiello Maria, Losi Maria-Angela
Department of Heart and Great Vessels Attilio Reale, University La Sapienza, Rome, Italy.
Echocardiography. 2012 Jul;29(6):745-50. doi: 10.1111/j.1540-8175.2012.01720.x. Epub 2012 May 29.
Hand-carried ultrasound devices (HCDs), also named personal use echo, are pocket-size, compact, and battery-equipped echocardiographic systems. They have limited technical capabilities but offer some advantages compared with standard echocardiographic devices due to their simplicity of use, immediate availability at the patient's bedside, transportability, and relatively low cost. Current HCDs are considered as screening tools and are used to complement the physical examination by cardiologists. Many noncardiologic subspecialists, however, have adopted this technologic advancement rapidly raising the concern of an inappropriate use of HCD by health professionals who do not have any specific training. In keeping with the mission of the International Society of Cardiovascular Ultrasound to advance the science and art of cardiovascular ultrasound and encourage the knowledge of this subject, the purpose of this Expert Consensus document is to focus on the training for all health care professionals considering the use of HCD. Accordingly, this paper summarizes general aspects of HCD, such as technical characteristics and clinical indications, and then details the specific training requirements for noncardiologists (i.e., training program, minimum case load, duration, and certification of competence).
手持式超声设备(HCDs),也被称为个人使用超声仪,是口袋大小、紧凑且配备电池的超声心动图系统。它们的技术能力有限,但由于使用简便、可在患者床边即时使用、便于携带且成本相对较低,与标准超声心动图设备相比具有一些优势。当前的HCDs被视为筛查工具,用于辅助心脏病专家进行体格检查。然而,许多非心脏病学亚专科医生迅速采用了这项技术进步,这引发了人们对未接受任何专门培训的医疗专业人员不当使用HCDs的担忧。为了与国际心血管超声学会推进心血管超声科学与技术并鼓励相关知识传播的使命保持一致,本专家共识文件的目的是关注所有考虑使用HCDs的医疗专业人员的培训。因此,本文总结了HCDs的一般方面,如技术特征和临床适应症,然后详细说明了非心脏病专家的具体培训要求(即培训计划、最低病例数量、持续时间和能力认证)。