Department of Neonatology, King Edward Memorial Hospital and Perth Children's Hospital, Western Australia 6008.
Department of Neonatology, Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada.
Indian Pediatr. 2023 May 15;60(5):351-357. Epub 2023 Feb 20.
The clinician-performed point-of-care ultrasound (POCUS) is a useful tool, and its scope includes bedside assessment of pulmonary (e.g., pneumothorax, pleural effusion), cardiac (e.g., pulmonary hypertension, ductus arteriosus), gastrointestinal (e.g., necrotising enterocolitis), and intracranial (e.g., intraventricular hemorrhage, cerebral blood flow velocities) pathologies, procedural guidance and rapid assessment of etiologies of acute clinical deterioration (e.g., pneumothorax, poor cardiac contractility, intraventricular hem-orrhage). Despite its potential to improve patient care, a curriculum and a structured program for POCUS training is lacking in India. Homogenous approach to training and ongoing quality assurance is essential to optimize benefits of POCUS as an effective tool in clinical practice. The training needs, the legal and infrastructural barriers to successful implementation of POCUS, and strategies to implement the program at the national level are discussed.
临床医生操作的即时超声(POCUS)是一种有用的工具,其应用范围包括床边评估肺部(例如气胸、胸腔积液)、心脏(例如肺动脉高压、动脉导管未闭)、胃肠道(例如坏死性小肠结肠炎)和颅内(例如脑室内出血、脑血流速度)病变、程序引导和快速评估急性临床恶化的病因(例如气胸、心脏收缩力差、脑室内出血)。尽管即时超声有可能改善患者的护理,但印度缺乏即时超声培训的课程和结构化计划。同质的培训方法和持续的质量保证对于将即时超声作为一种有效的临床实践工具来优化其益处至关重要。本文讨论了即时超声培训需求、成功实施即时超声的法律和基础设施障碍,以及在国家层面实施该计划的策略。