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在儿科重症监护病房(PICU)床边建立由重症医学专家主导的超声检查——是时候了* 。

Establishing intensivist-driven ultrasound at the PICU bedside--it's about time*.

作者信息

Su Erik, Pustavoitau Aliaksei, Hirshberg Elliotte L, Nishisaki Akira, Conlon Thomas, Kantor David B, Weber Mark D, Godshall Aaron J, Burzynski Jeffrey H, Thompson Ann E

机构信息

1Department of Anesthesia and Critical Care Medicine, Johns Hopkins University, Baltimore, MD. 2Departments of Internal Medicine and Pediatrics, Intermountain Medical Center, University of Utah, Salt Lake City, UT. 3Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA. 4Department of Anesthesia, Perioperative, and Pain Medicine, Boston Children's Hospital, Boston, MA. 5Department of Advanced Clinical Practice, Duke University Children's Center, Durham, NC. 6Department of Pediatrics, Florida Hospital for Children Walt Disney Pavilion, Orlando, FL. 7Sections of Critical Care and Emergency Medicine, University of Manitoba, Winnipeg, MB, Canada. 8Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.

出版信息

Pediatr Crit Care Med. 2014 Sep;15(7):649-52. doi: 10.1097/PCC.0000000000000168.

DOI:10.1097/PCC.0000000000000168
PMID:24977438
Abstract

OBJECTIVE

To discuss pediatric intensivist-driven ultrasound and the exigent need for research and practice definitions pertaining to its implementation within pediatric critical care, specifically addressing issues in ultrasound-guided vascular access and intensivist-driven echocardiography.

CONCLUSIONS

Intensivist-driven ultrasound improves procedure safety and reduces time to diagnosis in clinical ultrasound applications, as demonstrated primarily in adult patients. Translating these applications to the PICU requires thoughtful integration of the technology into practice and would best be informed by dedicated ultrasound research in critically ill children.

摘要

目的

探讨由儿科重症监护医生主导的超声检查,以及在儿科重症监护中实施该检查时对相关研究和实践定义的迫切需求,特别关注超声引导下血管通路和重症监护医生主导的超声心动图方面的问题。

结论

如主要在成年患者中所证实的那样,由重症监护医生主导的超声检查可提高临床超声应用中的操作安全性并缩短诊断时间。将这些应用转化到儿科重症监护病房需要对该技术进行深思熟虑的实践整合,而专门针对危重症儿童的超声研究将为其提供最佳指导。

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Ultrasound J. 2022 Oct 31;14(1):44. doi: 10.1186/s13089-022-00290-6.
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Point-of-Care Ultrasound in the Pediatric Intensive Care Unit.儿科重症监护病房中的床旁超声检查
Front Pediatr. 2022 Feb 1;9:830160. doi: 10.3389/fped.2021.830160. eCollection 2021.