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[急诊与重症医学中的床旁超声检查]

[Point-of-Care Sonography in Emergency and Intensive Care Medicine].

作者信息

Busche Caroline, Busch Hans-Jörg, Michels Guido

机构信息

Universitäts-Notfallzentrum, Universitätsklinik Freiburg.

Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Köln.

出版信息

Dtsch Med Wochenschr. 2018 Feb;143(3):161-164. doi: 10.1055/s-0043-115604. Epub 2018 Feb 6.

Abstract

The use of Point-of-care ultrasonography (POC Ultrasonography) is getting more and more important in the bedside care of patients, especially in emergency- and intensive care units. In addition to the focused sonography of the heart, lungs and abdomen, the POC Ultrasonography recently includes also cases in prehospital care. Increasingly special applications in intensive care, e.g. the assessment of weaning from mechanical ventilation or evaluation of the hemodynamics of a patient by means of sonographic control, gain meaning.The German Society for Internistic Intensive Care and Emergency Medicine e. V. (DGIIN), the German society for Ultrasound in Medicine e. V. (DEGUM) and the German Society of Cardiology e. V. (DGK) recently published a common recommendation for a training concept in POC Ultrasonography. The aim is quality assurance and accordingly the improvement of patient care in emergency- and intensive care.

摘要

床旁超声检查(POC超声检查)在患者的床边护理中变得越来越重要,尤其是在急诊和重症监护病房。除了对心脏、肺部和腹部进行重点超声检查外,POC超声检查最近还包括院前护理的情况。重症监护中的特殊应用越来越多,例如通过超声控制评估机械通气撤机或评估患者的血流动力学,变得更有意义。德国内科重症监护和急诊医学协会(DGIIN)、德国医学超声协会(DEGUM)和德国心脏病学会(DGK)最近发布了一份关于POC超声检查培训概念的共同建议。目的是确保质量,并相应地改善急诊和重症监护中的患者护理。

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