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神经科床旁超声 - EAN SPN/ESNCH/ERcNsono 神经 POcUS 工作组的报告。

Point-of-Care Ultrasound in Neurology - Report of the EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group.

机构信息

Center of Neurology, Clinic of Neurology and Neurosurgery, Vilnius University Faculty of Medicine, Vilnius, Lithuania.

Department of Neurology, Center for Vascular Neurology and Intensive Care, medbo Bezirksklinikum Regensburg, University of Regensburg, Germany.

出版信息

Ultraschall Med. 2022 Aug;43(4):354-366. doi: 10.1055/a-1816-8548. Epub 2022 May 5.

Abstract

In the last decade, ultrasound examination in neurology has been undergoing a significant expansion of its modalities. In parallel, there is an increasing demand for rapid and high-quality diagnostics in various acute diseases in the prehospital setting, the emergency room, intensive care unit, and during surgical or interventional procedures. Due to the growing need for rapid answers to clinical questions, there is particular demand for diagnostic ultrasound imaging. The Neuro-POCUS working group, a joint project by the European Academy of Neurology Scientific Panel Neurosonology, the European Society of Neurosonology and Cerebral Hemodynamics, and the European Reference Centers in Neurosonology (EAN SPN/ESNCH/ERcNsono Neuro-POCUS working group), was given the task of creating a concept for point-of-care ultrasound in neurology called "Neuro-POCUS". We introduce here a new ultrasound examination concept called point-of-care ultrasound in neurology (Neuro-POCUS) designed to streamline conclusive imaging outside of the ultrasound center, directly at the bedside. The aim of this study is to encourage neurologists to add quick and disease-oriented Neuro-POCUS to accompany the patient in the critical phase as an adjunct not a substitution for computed tomography, magnetic resonance imaging, or standard comprehensive neurosonology examination. Another goal is to avoid unwanted complications during imaging-free periods, ultimately resulting in advantages for the patient.

摘要

在过去的十年中,神经科的超声检查在模态方面经历了显著的扩展。与此同时,在院前环境、急诊室、重症监护病房以及手术或介入过程中,对各种急性疾病进行快速和高质量诊断的需求也在不断增加。由于对临床问题快速答案的需求不断增长,因此对诊断性超声成像的需求尤其迫切。神经 POCCUS 工作组是欧洲神经病学科学院神经超声科学小组、欧洲神经超声学会和脑血液动力学学会以及欧洲神经超声参考中心(EAN SPN/ESNCH/ERcNsono Neuro-POCUS 工作组)的一个联合项目,其任务是创建一个名为“神经 POCCUS”的神经科床边即时超声检查的概念。我们在这里介绍一种新的超声检查概念,称为神经科床边即时超声(Neuro-POCUS),旨在简化在超声中心外直接在床边进行明确成像。本研究的目的是鼓励神经科医生在危急阶段为患者添加快速、针对疾病的 Neuro-POCUS,作为计算机断层扫描、磁共振成像或标准全面神经超声检查的辅助手段,而不是替代手段。另一个目标是避免在无成像期间发生不必要的并发症,最终使患者受益。

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