Department of Anesthesia, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Division of Cardiac Anesthesiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
Can J Anaesth. 2018 Apr;65(4):427-436. doi: 10.1007/s12630-018-1049-7. Epub 2018 Jan 11.
Point-of-care ultrasound (POCUS) involves the bedside use of ultrasound to answer specific diagnostic questions and to assess real-time physiologic responses to treatment. Although POCUS has become a well-established resource for emergency and critical care physicians, anesthesiologists are still working to obtain POCUS skills and to incorporate them into routine practice. This review defines the benefits of POCUS to anesthesia practice, identifies challenges to establishing POCUS in routine anesthesia care, and offers solutions to help guide its incorporation going forward.
Benefits to POCUS include improving the sensitivity and specificity of the physical examination and helping to guide patient treatment. The challenges to establishing POCUS as a standard in anesthesia practice include developing and maintaining competence. There is a need to develop standards of practice and a common language between specialties to facilitate training and create guidelines regarding patient management.
Presently, our specialty requires consensus by expert stakeholders to address issues of competence, certification, development of standards and terminology, and the management of unexpected diagnoses. To promote POCUS competency in our discipline, we support its incorporation into anesthesiology curricula and training programs and the continuing professional development of POCUS-related activities at a national level.
床边超声检查（POCUS）涉及在床边使用超声来回答特定的诊断问题，并评估治疗的实时生理反应。尽管 POCUS 已成为急诊和重症监护医生的一项成熟资源，但麻醉师仍在努力获得 POCUS 技能并将其纳入常规实践。本文定义了 POCUS 对麻醉实践的益处，确定了在常规麻醉护理中建立 POCUS 所面临的挑战，并提出了一些解决方案，以帮助指导其未来的整合。
POCUS 的益处包括提高体格检查的灵敏度和特异性，并有助于指导患者治疗。在麻醉实践中建立 POCUS 标准所面临的挑战包括发展和保持能力。需要制定实践标准和专业之间的通用语言，以促进培训并制定关于患者管理的指南。
目前，我们的专业需要专家利益相关者达成共识，以解决能力、认证、标准和术语的制定以及意外诊断的管理等问题。为了在我们的学科中促进 POCUS 能力，我们支持将其纳入麻醉学课程和培训计划，并在国家层面上持续进行与 POCUS 相关的专业发展。
