Mayordomo-Colunga Juan, González-Cortés Rafael, Bravo María Carmen, Martínez-Mas Roser, Vázquez-Martínez José Luis, Renter-Valdovinos Luis, Conlon Thomas W, Nishisaki Akira, Cabañas Fernando, Bilbao-Sustacha José Ángel, Oulego-Erroz Ignacio
Sección de Cuidados Intensivos Pediátricos, Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias, Oviedo, España; CIBER-Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, España; Grupo de Trabajo de Ecografía de la Sociedad Española de Cuidados Intensivos Pediátricos (SECIP), España; Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, España.
Unidad de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España; Red de Salud Materno Infantil y del Desarrollo. RETICS financiada por el ISCIII (Ref. 16/0022), Madrid, España; Grupo de Trabajo de Ecografía de la Sociedad Española de Cuidados Intensivos Pediátricos (SECIP), España.
An Pediatr (Engl Ed). 2019 Sep;91(3):206.e1-206.e13. doi: 10.1016/j.anpedi.2019.06.012. Epub 2019 Aug 6.
Point-of-care ultrasound (POCUS) has become an essential tool for clinical practice in recent years. It should be considered as an extension of the standard physical examination, which complements and enriches it without substituting it. POCUS enables the physician to answer specific clinical questions about the diagnosis, to understand better the pathophysiological context, to orientate the treatment, and to perform invasive procedures more safely. Despite its current use in many centres, and in most paediatric sub-specialties, there are currently no specific recommendations addressing educational aims in the different training areas, as well as methodology practice and the certification process in paediatrics. These ingredients are essential for POCUS implementation in daily practice, with a quality guarantee in terms of efficiency and safety. Several POCUS experts in different paediatric medicine environments performed a non-systematic review addressing the main paediatric POCUS applications in paediatrics. The lack of educational programs in POCUS in Spain is also discussed, and the experience in the United States of America in this topic is provided. Considering the current situation of POCUS in paediatrics, we strongly believe that it is urgent to establish evidence-based recommendations for POCUS training that should be the base to develop educational programs and to include POCUS in the paediatric residency training.
近年来,床旁超声(POCUS)已成为临床实践的重要工具。它应被视为标准体格检查的延伸,对其起到补充和丰富的作用,而非替代。POCUS使医生能够回答有关诊断的特定临床问题,更好地理解病理生理背景,指导治疗,并更安全地进行侵入性操作。尽管目前许多中心以及大多数儿科亚专业都在使用POCUS,但目前尚无针对不同培训领域的教育目标、方法实践以及儿科认证过程的具体建议。这些要素对于POCUS在日常实践中的实施至关重要,能在效率和安全方面保证质量。不同儿科医学环境中的几位POCUS专家对儿科主要的POCUS应用进行了非系统综述。文中还讨论了西班牙POCUS教育项目的缺乏情况,并介绍了美国在该主题上的经验。考虑到儿科POCUS的现状,我们坚信迫切需要为POCUS培训制定基于证据的建议,这应成为制定教育项目以及将POCUS纳入儿科住院医师培训的基础。