Massachusetts General Hospital, Boston, Massachusetts.
UCSF Benioff Children's Hospital, Oakland.
Curr Opin Pediatr. 2018 Jun;30(3):350-358. doi: 10.1097/MOP.0000000000000621.
The diagnostic capability, efficiency and versatility of point-of-care ultrasound (POCUS) have enabled its use in paediatric emergency medicine (PEM) and paediatric critical care (PICU). This review highlights the current applications of POCUS for the critically ill child across PEM and PICU to identify areas of progress and standardized practice and to elucidate areas for future research.
POCUS technology continues to evolve and advance bedside clinical care for critically ill children, with ongoing research extending its use for an array of clinical scenarios, including respiratory distress, trauma and dehydration. Rapidly evolving and upcoming applications include diagnosis of pneumonia and acute chest syndrome, identification of intra-abdominal injury via contrast-enhancement, guidance of resuscitation, monitoring of increased intracranial pressure and procedural guidance.
POCUS is an effective and burgeoning method for both rapid diagnostics and guidance for interventions and procedures. It has clinical application for a variety of conditions that span PEM and PICU settings. Formal POCUS training is needed to standardize and expand use of this valuable technology by PICU and PEM providers alike.
即时床旁超声（POCUS）的诊断能力、效率和多功能性使其能够应用于儿科急救医学（PEM）和儿科重症监护（PICU）。这篇综述强调了 POCUS 在 PEM 和 PICU 中对危重症儿童的当前应用，以确定进展和标准化实践的领域，并阐明未来研究的领域。
POCUS 技术不断发展，为危重症儿童的床边临床护理提供了支持，不断的研究扩展了其在一系列临床情况下的应用，包括呼吸窘迫、创伤和脱水。快速发展和即将出现的应用包括肺炎和急性胸部综合征的诊断、通过对比增强识别腹部内损伤、复苏指导、监测颅内压升高和程序指导。
POCUS 是一种快速诊断和指导干预和程序的有效且新兴的方法。它在 PEM 和 PICU 环境中具有多种适应证。需要进行正规的 POCUS 培训，以规范和扩大 PICU 和 PEM 医护人员对这项有价值技术的使用。
