School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Ourimbah, NSW, Australia.
J Foot Ankle Res. 2022 Mar 26;15(1):24. doi: 10.1186/s13047-022-00530-x.
Doppler is the most commonly utilised vascular assessment tool by podiatrists in Australia and the United Kingdom. Doppler is a key component of many international guidelines for vascular assessment. Used alongside pressure measurements such as ankle and toe-brachial indices, Doppler assists podiatrists to diagnose, triage and subsequently manage patients with peripheral arterial disease. This commentary aims to clarify the importance, technique, and interpretation of continuous wave handheld Doppler in podiatry practice. This commentary presents discussion on the equipment and optimal test conditions for use of Doppler, and guidance on the technique required in podiatry clinical practice. Furthermore, there is a focus on interpretation of the output from Doppler including both audio and visual output. There is in depth discussion about identifying pathology and integration into the clinical management plan.
在澳大利亚和英国，足科医生最常使用的血管评估工具是多普勒。多普勒是许多国际血管评估指南的重要组成部分。与踝肱指数等压力测量一起使用，多普勒有助于足科医生诊断、分诊和随后管理外周动脉疾病患者。本评论旨在澄清连续波手持式多普勒在足科实践中的重要性、技术和解释。本评论介绍了有关多普勒使用的设备和最佳测试条件的讨论，以及足科临床实践中所需技术的指导。此外，重点讨论了对多普勒输出的解释，包括音频和视觉输出。深入讨论了识别病理学并将其纳入临床管理计划。
