Burton Luke, Bhargava Vidit, Kong Michele
Division of Critical Care, Department of Pediatrics, School of Medicine, University of Alabama, Birmingham, AL, United States.
Front Pediatr. 2022 Feb 1;9:830160. doi: 10.3389/fped.2021.830160. eCollection 2021.
Ultrasonography has been widely used in medicine for decades but often by specific users such as cardiologists, obstetricians, and radiologists. In the last several years, the use of this imaging modality has moved to the bedside, with clinicians performing and interpreting focused point of care ultrasonography to aid in immediate assessment and management of their patients. The growth of point of care ultrasonography has been facilitated by advancement in ultrasound-related technology and emerging studies and protocols demonstrating its utility in clinical practice. However, considerable challenges remain before this modality can be adopted across the spectrum of disciplines, primarily as it relates to training, competency, and standardization of usage. This review outlines the history, current state, challenges and the future direction of point of care ultrasonography specifically in the field of pediatric critical care medicine.
几十年来,超声检查在医学领域得到了广泛应用,但通常是由心脏病专家、产科医生和放射科医生等特定用户使用。在过去几年中,这种成像方式的使用已延伸至床边,临床医生进行并解读床旁即时超声检查,以辅助对患者进行即时评估和管理。超声相关技术的进步以及新出现的研究和方案证明了其在临床实践中的效用,推动了床旁即时超声检查的发展。然而,在跨学科广泛采用这种检查方式之前,仍存在相当大的挑战,主要涉及培训、能力以及使用的标准化。本综述概述了床旁即时超声检查的历史、现状、挑战以及未来方向,特别是在儿科重症医学领域。