Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6.
Can Vet J. 2020 Dec;61(12):1278-1282.
This survey assessed how veterinary point-of-care ultrasound (VPOCUS), including abdominal and thoracic focused assessment with sonography for trauma (AFAST, TFAST), is used across Canada. Seventy-four veterinarians completed an online survey; 88% (65/74) used ultrasound, 94% (61/65) performed AFAST, and 69% (45/65) performed TFAST. Reasons for not performing VPOCUS included no machine/poor quality machine, lack of experience/confidence, and lack of training/education. Abdominal effusion, and pleural and pericardial effusion were the most frequently diagnosed AFAST and TFAST pathologies, respectively. Lung and cardiovascular ultrasound examinations were infrequently performed. Subpleural consolidation was rarely included in VPOCUS. Most respondents performed VPOCUS, with AFAST being more frequently and confidently preformed than TFAST. More training, education, and standardization of techniques appear to be key elements to help build confidence and experience, particularly with regard to TFAST applications and diagnosis.
这项调查评估了加拿大各地兽医即时护理超声(VPOCUS)的使用情况,包括腹部和胸部创伤超声重点评估(AFAST、TFAST)。74 名兽医完成了在线调查;88%(65/74)使用了超声,94%(61/65)进行了 AFAST,69%(45/65)进行了 TFAST。不进行 VPOCUS 的原因包括没有机器/机器质量差、缺乏经验/信心以及缺乏培训/教育。AFAST 和 TFAST 最常诊断的病理分别为腹腔积液和胸膜及心包积液。肺部和心血管超声检查很少进行。亚胸膜实变很少包含在 VPOCUS 中。大多数受访者进行了 VPOCUS,AFAST 的应用和诊断比 TFAST 更频繁、更有信心。更多的培训、教育和技术标准化似乎是建立信心和经验的关键因素,特别是在 TFAST 的应用和诊断方面。