Buerger Anita M, Clark Kevin R
Radiol Technol. 2017 Nov;89(2):127-138.
To discuss the current and growing use of point-of-care (POC) ultrasound in the management and care of patients.
Several electronic research databases were searched to find articles that emphasized the use of POC ultrasound by health care providers who manage and treat critically ill or injured patients. Thirty-five relevant peer-reviewed journal articles were selected for this literature review.
Common themes identified in the literature included the use of POC ultrasound in emergency medicine, military medicine, and remote care; comparison of POC ultrasound to other medical imaging modalities; investigation of the education and training required for nonimaging health care professionals who perform POC ultrasound in their practices; and discussion of the financial implications and limitations of POC ultrasound.
POC ultrasound provides clinicians with real-time information to better manage and treat critically ill or injured patients in emergency medicine, military medicine, and remote care. In addition to providing immediate bedside diagnostic information, use of POC ultrasound has increased because of concerns regarding radiation protection. Finally, the expansion of POC ultrasound to other specialty areas requires nonimaging health care professionals to perform bedside ultrasound examinations and interpret the resulting images. Because POC ultrasound is user-dependent, adequate training is essential for all who perform and interpret the examinations.
Research involving POC ultrasound will continue as innovations and confidence in ultrasound applications advance. Future research should continue to examine the broad use of POC ultrasound in patient care and management.
探讨即时超声（POC）在患者管理与护理中的当前及不断增长的应用。
检索了多个电子研究数据库，以查找强调管理和治疗危重病或受伤患者的医护人员使用POC超声的文章。选择了35篇相关的同行评审期刊文章进行本次文献综述。
文献中确定的常见主题包括POC超声在急诊医学、军事医学和远程护理中的应用；POC超声与其他医学成像模式的比较；对在实践中进行POC超声检查的非成像医护人员所需教育和培训的调查；以及对POC超声的财务影响和局限性的讨论。
POC超声为临床医生提供实时信息，以便在急诊医学、军事医学和远程护理中更好地管理和治疗危重病或受伤患者。除了提供即时床边诊断信息外，由于对辐射防护的关注，POC超声的使用也有所增加。最后，POC超声扩展到其他专业领域需要非成像医护人员进行床边超声检查并解读所得图像。由于POC超声依赖于用户，因此对所有进行和解读检查的人员进行充分培训至关重要。
随着超声应用方面的创新和信心提升，涉及POC超声的研究将继续进行。未来的研究应继续考察POC超声在患者护理和管理中的广泛应用。
