Haskins Stephen C, Bronshteyn Yuriy, Perlas Anahi, El-Boghdadly Kariem, Zimmerman Joshua, Silva Marcos, Boretsky Karen, Chan Vincent, Kruisselbrink Richelle, Byrne Melissa, Hernandez Nadia, Boublik Jan, Manson William Clark, Hogg Rosemary, Wilkinson Jonathan N, Kalagara Hari, Nejim Jemiel, Ramsingh Davinder, Shankar Hariharan, Nader Antoun, Souza Dmitri, Narouze Samer
Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York, USA
Anesthesiology, Weill Cornell Medical College, New York, New York, USA.
Reg Anesth Pain Med. 2021 Dec;46(12):1048-1060. doi: 10.1136/rapm-2021-102561. Epub 2021 Feb 24.
Point-of-care ultrasound (POCUS) is a critical skill for all regional anesthesiologists and pain physicians to help diagnose relevant complications related to routine practice and guide perioperative management. In an effort to inform the regional anesthesia and pain community as well as address a need for structured education and training, the American Society of Regional Anesthesia and Pain Medicine Society (ASRA) commissioned this narrative review to provide recommendations for POCUS. The recommendations were written by content and educational experts and were approved by the guidelines committee and the Board of Directors of the ASRA. In part II of this two-part series, learning goals and objectives were identified and outlined for achieving competency in the use of POCUS, specifically, airway ultrasound, lung ultrasound, gastric ultrasound, the focus assessment with sonography for trauma exam, and focused cardiac ultrasound, in the perioperative and chronic pain setting. It also discusses barriers to POCUS education and training and proposes a list of educational resources. For each POCUS section, learning goals and specific skills were presented in the Indication, Acquisition, Interpretation, and Medical decision-making framework.
即时超声检查(POCUS)是所有区域麻醉师和疼痛医师的一项关键技能,有助于诊断与常规实践相关的相关并发症,并指导围手术期管理。为了向区域麻醉和疼痛医学界提供信息,并满足结构化教育和培训的需求,美国区域麻醉和疼痛医学学会(ASRA)委托进行了这项叙述性评论,以提供即时超声检查的建议。这些建议由内容和教育专家撰写,并得到了指南委员会和 ASRA 董事会的批准。在这个两部分系列的第二部分中,确定并概述了在围手术期和慢性疼痛环境中使用即时超声检查(特别是气道超声、肺部超声、胃超声、创伤检查的超声重点评估以及焦点心脏超声)方面实现能力的学习目标和学习目标。它还讨论了即时超声检查教育和培训的障碍,并提出了一系列教育资源。对于每个即时超声检查部分,都在适应证、采集、解释和医学决策框架中提出了学习目标和具体技能。
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