Dietrich Christoph F, Goudie Adrian, Chiorean Liliana, Cui Xin Wu, Gilja Odd Helge, Dong Yi, Abramowicz Jacques S, Vinayak Sudhir, Westerway Susan Campbell, Nolsøe Christian Pállson, Chou Yi-Hong, Blaivas Michael
Medical Department, Caritas-Krankenhaus, Bad Mergentheim, Germany; Sino-German Research Center of Ultrasound in Medicine, First Affiliated Hospital of Zhengzhou University, China.
Emergency Department, Fiona Stanley Hospital, Perth, Australia.
Ultrasound Med Biol. 2017 Jan;43(1):49-58. doi: 10.1016/j.ultrasmedbio.2016.06.021. Epub 2016 Jul 26.
Over the last decade, the use of portable ultrasound scanners has enhanced the concept of point of care ultrasound (PoC-US), namely, "ultrasound performed at the bedside and interpreted directly by the treating clinician." PoC-US is not a replacement for comprehensive ultrasound, but rather allows physicians immediate access to clinical imaging for rapid and direct solutions. PoC-US has already revolutionized everyday clinical practice, and it is believed that it will dramatically change how ultrasound is applied in daily practice. However, its use and teaching are different from continent to continent and from country to country. This World Federation for Ultrasound in Medicine and Biology position paper discusses the current status and future perspectives of PoC-US. Particular attention is given to the different uses of PoC-US and its clinical significance, including within emergency and critical care medicine, cardiology, anesthesiology, rheumatology, obstetrics, neonatology, gynecology, gastroenterology and many other applications. In the future, PoC-US will be more diverse than ever and be included in medical student training.
在过去十年中,便携式超声扫描仪的使用提升了床旁超声检查(PoC-US)的概念,即“在床边进行超声检查并由主治医生直接解读”。PoC-US并非全面超声检查的替代品,而是使医生能够即时获取临床影像以迅速直接地解决问题。PoC-US已经彻底改变了日常临床实践,并且人们相信它将极大地改变超声在日常实践中的应用方式。然而,其使用和教学在不同大陆和不同国家存在差异。这份世界医学与生物学超声联合会立场文件讨论了PoC-US的现状和未来前景。特别关注了PoC-US的不同用途及其临床意义,包括在急诊与重症医学、心脏病学、麻醉学、风湿病学、产科、新生儿科、妇科、胃肠病学以及许多其他应用领域。未来,PoC-US将比以往更加多样化,并将纳入医学生培训。