肾脏病学中的即时超声检查。
Point-of-care ultrasound in nephrology.
机构信息
Nephrology Division, Department of Medicine, NYU Langone Medical Center, New York, New York, USA.
Clinical Skills Division, St. George's University School of Medicine, Grenada, West Indies.
出版信息
Curr Opin Nephrol Hypertens. 2021 Mar 1;30(2):176-183. doi: 10.1097/MNH.0000000000000681.
PURPOSE OF REVIEW
The use of POCUS has grown tremendously with the introduction of innovative, easy-to-carry and maneuver hand-held devices. This review focuses on nephrology-centric applications of POCUS that can be incorporated on a daily basis to make impactful and prompt clinical decisions.
RECENT FINDINGS
We review articles covering use of POCUS in the dialysis unit, the Emergency Department, office, and ICU for assessment of volume status, access issues, stones, obstruction, and to help manage patients with AKI, shock, and heart failure.
SUMMARY
POCUS is a welcome addition to our bedside diagnostic armamentarium and has great utility in nephrology. Trials are ongoing in evaluating outcomes with POCUS and physicians' clinical experience using it has been extremely positive.
目的综述
随着创新、易于携带和操作的手持式设备的推出，POCUS 的使用有了巨大的增长。本篇综述重点介绍以肾脏病学为中心的 POCUS 应用，这些应用可以在日常工作中实施，以便做出有影响力和及时的临床决策。
最近的发现
我们回顾了涵盖 POCUS 在透析病房、急诊、办公室和 ICU 中应用的文章，用于评估容量状态、通路问题、结石、梗阻，并帮助管理急性肾损伤、休克和心力衰竭的患者。
总结
POCUS 是我们床边诊断工具的一大补充，在肾脏病学中有很大的应用价值。目前正在进行评估 POCUS 结局的试验，医生使用 POCUS 的临床经验非常积极。
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