Fentress Matthew, Heyne Thomas F, Barron Keith R, Jayasekera Neil
From the Departments of Family Medicine and Emergency Medicine, Contra Costa Regional Medical Center, Martinez, California, the Departments of Medicine and Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, and Department of Internal Medicine, Palmetto Health-USC Medical Group, Columbia, South Carolina.
South Med J. 2018 Jul;111(7):424-433. doi: 10.14423/SMJ.0000000000000827.
Point-of-care ultrasound (POCUS) is used increasingly in resource-limited settings (RLSs), particularly as inexpensive ultrasound machines and evidence-based protocols become more available. POCUS often is the only imaging modality available in such settings, and it has the potential to significantly affect patient care. This article discusses four case-based reviews of POCUS in RLSs for several common diseases: pediatric pneumonia; extrapulmonary tuberculosis; ectopic pregnancy; and tropical parasitic diseases, including echinococcus, schistosomiasis, and amebiasis. It concludes with a discussion of the logistical considerations specific to implementing POCUS in RLSs, particularly equipment and training. The literature reviewed suggests that POCUS has the potential to improve the diagnosis and management of multiple conditions in RLSs, although further research is needed.
床旁超声(POCUS)在资源有限的环境(RLS)中使用得越来越频繁,尤其是随着廉价超声设备和循证方案越来越容易获得。在这种环境中,POCUS往往是唯一可用的成像方式,并且它有可能显著影响患者护理。本文讨论了针对几种常见疾病在资源有限环境中使用POCUS的四个基于病例的综述:小儿肺炎;肺外结核;异位妊娠;以及热带寄生虫病,包括棘球蚴病、血吸虫病和阿米巴病。文章最后讨论了在资源有限环境中实施POCUS时的后勤考虑因素,特别是设备和培训。所审查的文献表明,POCUS有潜力改善资源有限环境中多种病症的诊断和管理,尽管还需要进一步研究。