Department of Plastic and Reconstructive Surgery, Mater Misericordiae University Hospital, Dublin, Ireland; School of Medicine, University College Dublin, Dublin, Ireland.
School of Medicine, University College Dublin, Dublin, Ireland; Department of Radiology, St Vincent's University Hospital, Dublin, Ireland.
J Hand Surg Am. 2021 Jul;46(7):602-607. doi: 10.1016/j.jhsa.2021.02.004. Epub 2021 Apr 6.
Point of care ultrasound (POCUS) is the use of ultrasound (US) imaging technology by non-sonographer, non-radiologist treating clinicians. Handheld US systems are increasing in popularity and becoming widely available and easily accessible to hand surgeons in clinical practice. Adapting POCUS into the repertoire of the hand surgeon can aid in the diagnosis of many common hand surgery presentations and shorten operative times. In this review, we outline the potential uses and advantages of incorporating POCUS into hand surgery practice incuding its use in emergencies such as trauma, infections, and foreign body localization, as well as elective presentations such as nerve compression, procedural guidance, and anesthesia. Finally, this review outlines the training and curriculum development required to ensure safe implementation of POCUS into a hand surgery practice.
床旁超声（POCUS）是指非超声医师、非放射科医师的临床治疗医师使用超声（US）成像技术。手持式 US 系统越来越受欢迎，在临床实践中，手外科医生也越来越容易获得和使用。将 POCUS 应用于手外科医生的诊疗范围，可以帮助诊断许多常见的手外科疾病，并缩短手术时间。在这篇综述中，我们概述了将 POCUS 纳入手外科实践的潜在用途和优势，包括在创伤、感染和异物定位等急症以及神经压迫、手术指导和麻醉等择期疾病中的应用。最后，本文还概述了将 POCUS 安全应用于手外科实践所需的培训和课程开发。
