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医生对在产房日常使用手持超声设备的看法。

Physicians' perceptions of the daily use of a handheld ultrasound device in the labor room.

机构信息

Department of Obstetrics, Fetal Medicine and Surgery, Necker Enfants Malades Hospital, Paris, France; EA fetus 7328 and LUMIERE Platform, University of Paris, Paris, France.

Department of Obstetrics, Fetal Medicine and Surgery, Necker Enfants Malades Hospital, Paris, France.

出版信息

J Gynecol Obstet Hum Reprod. 2023 Sep;52(7):102618. doi: 10.1016/j.jogoh.2023.102618. Epub 2023 Jun 7.

Abstract

OBJECTIVE

The objective of our study was to describe the perception of physicians who use a handheld ultrasound (US) device in an intensive perinatal care unit.

METHODS

We conducted a prospective observational study in the labor ward of an intensive perinatal care unit between November 2021 and May 2022. Obstetrics & Gynecology residents in rotation in our department during this time were recruited as participants in this study. All the participants were provided with a handheld US device Vscan Air™ (GE Healthcare, Zipf, Austria) to use during their normal days and nights practice in labor ward. At the end of their 6 months rotation, participants completed an anonymous surveys about their perceptions of the handheld US device. The survey included questions about the ease of use in clinical situations, the amount of time of initial diagnosis, performances of the device, feasibility to use, and patient's satisfaction with the use of the device.

RESULTS

6 residents in their last year of residency were included. All the participants were satisfied with the device and would like to use it in their future practice. They all agreed that the probe was easy to handle and that the mobile application was easy to use. Image quality was always considered good by the participants and 5/6 of them declared that the handheld US device was always sufficient and did not require any confirmation with a conventional US machine. 5/6 of the participants considered that the handheld US device allowed them to gain time for clinical decision but half of them did not estimate that the use of the handheld US device improved their ability to make a clinical diagnosis.

CONCLUSION

Our study suggests that the Vscan Air™ is easy to use, with a good quality image and reduces the amount of time to make a clinical diagnosis. Handheld US device could be useful in the daily practice in maternity hospital.

摘要

目的

本研究的目的在于描述在重症围产医学单元中使用手持超声(US)设备的医生的感知。

方法

我们在 2021 年 11 月至 2022 年 5 月期间在重症围产医学单元的产房进行了一项前瞻性观察研究。在此期间轮转我科的妇产科住院医师被招募为该研究的参与者。所有参与者均提供了手持式 US 设备 Vscan Air™(GE Healthcare,Zipf,Austria),以便在他们在产房的正常白天和夜间实践中使用。在轮转结束后的 6 个月内,参与者完成了一份关于他们对手持式 US 设备感知的匿名调查。该调查包括关于在临床情况下使用的易用性、初始诊断所需的时间、设备的性能、使用的可行性以及患者对手持式 US 设备使用的满意度等问题。

结果

共纳入 6 名住院医师。所有参与者均对该设备感到满意,并希望在未来的实践中使用。他们都同意探头易于操作,移动应用程序易于使用。所有参与者都认为图像质量始终良好,并且有 6 名中的 5 名表示手持式 US 设备始终足够,并且不需要与传统 US 机器进行任何确认。6 名中的 5 名参与者认为手持式 US 设备使他们能够为临床决策争取时间,但有一半的人并不认为使用手持式 US 设备提高了他们进行临床诊断的能力。

结论

我们的研究表明,Vscan Air™ 易于使用,图像质量良好,并且可以减少做出临床诊断所需的时间。手持式 US 设备在妇产科医院的日常实践中可能有用。

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