即时超声检查教育以改善透析患者的护理。
Point-of-care ultrasound education to improve care of dialysis patients.
作者信息
Mullangi Surekha, Sozio Stephen M, Segal Paul, Menez Steven, Martire Carol, Shafi Tariq
机构信息
Division of Nephrology, Department of Medicine, The Johns Hopkins University, Baltimore, MD, USA.
Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
出版信息
Semin Dial. 2018 Mar;31(2):154-162. doi: 10.1111/sdi.12664. Epub 2018 Jan 3.
Abstract
Point-of-care ultrasound (POCUS) is rapidly emerging as a bedside diagnostic tool that can enhance physical diagnosis and facilitate clinical decision making. Although ultrasound is widely used by nephrologists for vascular access and kidney imaging, diagnostic POCUS skills in other anatomic areas are not part of routine nephrology training. In this narrative review, we will provide an overview of selected POCUS techniques, highlight potential uses of POCUS in routine nephrology practice, and describe a new curriculum implemented at Johns Hopkins University School of Medicine to teach diagnostic POCUS skills to nephrology fellows.
摘要
床旁超声（POCUS）正迅速成为一种床边诊断工具，可增强体格检查并促进临床决策。尽管超声被肾病学家广泛用于血管通路和肾脏成像，但其他解剖区域的床旁诊断超声技能并非常规肾病学培训的一部分。在这篇叙述性综述中，我们将概述选定的床旁超声技术，强调床旁超声在常规肾病学实践中的潜在用途，并描述约翰·霍普金斯大学医学院实施的一项新课程，以向肾病学住院医师传授床旁诊断超声技能。
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2
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3
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Medicine (Baltimore). 2017 Jun;96(25):e7269. doi: 10.1097/MD.0000000000007269.
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Am J Kidney Dis. 2017 Sep;70(3):415-421. doi: 10.1053/j.ajkd.2017.03.022. Epub 2017 Jun 2.
5
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6
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Int J Nephrol. 2017;2017:3756857. doi: 10.1155/2017/3756857. Epub 2017 Feb 2.
7
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10
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