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儿科临床护理中的即时超声检查。

Point-of-Care Ultrasound in Pediatric Clinical Care.

机构信息

Division of Emergency Medicine, Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky.

Newark Beth Israel Medical Center, Children's Hospital of New Jersey, Newark3Department of Emergency Medicine, New Jersey Medical School, Rutgers University, Newark.

出版信息

JAMA Pediatr. 2015 Jun;169(6):594-600. doi: 10.1001/jamapediatrics.2015.22.

DOI:10.1001/jamapediatrics.2015.22
PMID:25893571
Abstract

IMPORTANCE

Point-of-care (POC) ultrasound has been used by a variety of nonradiologist physicians. Recently, POC ultrasound use by pediatricians has received increased attention with the practice of both established and novel applications.

OBJECTIVES

To review various uses of ultrasound by pediatricians, discuss challenges and potential pitfalls as pediatric physicians seek to use ultrasound in their practices, and consider various areas of research needs and opportunities.

EVIDENCE REVIEW

Available English-language publications from 1970 through December 31, 2014.

FINDINGS

Limited research supports the notion that many POC ultrasound applications practiced by nonradiologist pediatricians can assist in clinical decision making and procedural success. Future challenges include the need for institutions to train and credential large numbers of health care professionals in the use of pediatric POC ultrasound, as well as the necessity of diverse research efforts, including the establishment of pediatric-specific norms, consideration of optimal educational strategies, and inquiry intended to identify best practices for clinical effectiveness and efficiency.

CONCLUSIONS AND RELEVANCE

Although considerable effort needs to be devoted to the continued development of pediatric POC ultrasound, there is potential for useful application in a variety of clinical and educational settings.

摘要

重要性

床边超声(POC)已被各种非放射科医生使用。最近,随着既定和新应用的实践,儿科医生对 POC 超声的使用受到了更多的关注。

目的

回顾儿科医生使用超声的各种用途,讨论儿科医生在尝试将超声应用于其实践中所面临的挑战和潜在陷阱,并考虑各个研究领域的需求和机会。

文献回顾

1970 年至 2014 年 12 月 31 日期间可获得的英文出版物。

发现

有限的研究支持这样一种观点,即许多由非放射科儿科医生进行的 POC 超声应用可以辅助临床决策和程序成功。未来的挑战包括需要机构培训和认证大量的医疗保健专业人员使用儿科 POC 超声,以及需要进行多样化的研究工作,包括建立儿科特定的规范,考虑最佳的教育策略,并探讨确定临床效果和效率的最佳实践。

结论和相关性

尽管需要投入大量精力来进一步发展儿科 POC 超声,但在各种临床和教育环境中都有潜在的有用应用。

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