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危重症成年患者的多器官床旁超声评估

Multiorgan Point-of-Care Ultrasound Assessment in Critically Ill Adults.

作者信息

Hobbs Hailey, Millington Scott, Wiskar Katie

机构信息

Department of Critical Care Medicine, Queen's University, Kingston, Canada.

Critical Care Medicine, The University of Ottawa/The Ottawa Hospital, Ottawa, Canada.

出版信息

J Intensive Care Med. 2024 Mar;39(3):187-195. doi: 10.1177/08850666231192047. Epub 2023 Aug 8.

DOI:10.1177/08850666231192047
PMID:37552930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10845831/
Abstract

Traditional point-of-care ultrasound (POCUS) training highlights discrete techniques, single-organ assessment, and focused protocols. More recent developments argue for a whole-body approach, where the experienced clinician-ultrasonographer crafts a personalized POCUS protocol depending on specific clinical circumstances. This article describes this problem-based approach, focusing on common acute care scenarios while highlighting practical considerations and performance characteristics.

摘要

传统的床旁超声（POCUS）培训侧重于离散技术、单一器官评估和聚焦方案。最近的发展主张采用全身检查方法，经验丰富的临床超声医师可根据具体临床情况制定个性化的POCUS方案。本文描述了这种基于问题的方法，重点关注常见的急性护理场景，同时强调实际注意事项和性能特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/10845831/a24f91182d41/10.1177_08850666231192047-fig17.jpg
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本文引用的文献

1
Hiding in Plain Sight: A Case of Perinephric Abscess Diagnosed by POCUS.隐匿于众目睽睽之下：一例经床旁超声诊断的肾周脓肿病例
POCUS J. 2020 Nov 18;5(2):33-34. doi: 10.24908/pocus.v5i2.14430. eCollection 2020.
2
Surgeon-Performed Point-of-Care Ultrasound in the Diagnosis of Acute Sigmoid Diverticulitis: A Pragmatic Prospective Multicenter Cohort Study.外科医生床旁即时超声诊断急性乙状结肠憩室炎：一项实用的前瞻性多中心队列研究
Cureus. 2023 Jan 3;15(1):e33292. doi: 10.7759/cureus.33292. eCollection 2023 Jan.
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Venous Doppler to Assess Congestion: A Comprehensive Review of Current Evidence and Nomenclature.
静脉多普勒评估充血：当前证据和命名的综合综述。
Ultrasound Med Biol. 2023 Jan;49(1):3-17. doi: 10.1016/j.ultrasmedbio.2022.07.011. Epub 2022 Oct 4.
4
Accuracy and clinical use of biliary point-of-care ultrasound: A retrospective cohort study.床旁胆道超声检查的准确性及临床应用：一项回顾性队列研究。
Emerg Med Australas. 2023 Apr;35(2):218-224. doi: 10.1111/1742-6723.14099. Epub 2022 Oct 4.
5
Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions.急诊科床旁胆道超声检查（BUSED）可预测最终的手术治疗决策。
Trauma Surg Acute Care Open. 2022 Sep 2;7(1):e000944. doi: 10.1136/tsaco-2022-000944. eCollection 2022.
6
Ultrasound Detection of Portomesenteric Venous Gas Is an Early Sign of Bowel Ischaemia in Non-Traumatic Abdominal Pain: Old Dogs, New Tricks-Four Cases Report.超声检测门静脉肠系膜静脉气体是非创伤性腹痛中肠缺血的早期征象：老方法，新应用——4例报告
Case Rep Crit Care. 2022 Aug 23;2022:1734612. doi: 10.1155/2022/1734612. eCollection 2022.
7
Accuracy of Multi-organ Point-of-Care Ultrasound for Acute Kidney Injury Etiologies.多器官床边超声对急性肾损伤病因的诊断准确性。
Ultrasound Med Biol. 2022 Oct;48(10):2009-2018. doi: 10.1016/j.ultrasmedbio.2022.05.025. Epub 2022 Jul 30.
8
Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia.床旁超声（POCUS）作为菌血症或念珠菌血症患者体格检查的延伸
J Clin Med. 2022 Jun 23;11(13):3636. doi: 10.3390/jcm11133636.
9
Venous Excess Doppler Ultrasound for the Nephrologist: Pearls and Pitfalls.肾科医生的静脉过度多普勒超声检查：要点与陷阱
Kidney Med. 2022 May 19;4(7):100482. doi: 10.1016/j.xkme.2022.100482. eCollection 2022 Jul.
10
Point of care ultrasound as initial diagnostic tool in acute dyspnea patients in the emergency department of a tertiary care center: diagnostic accuracy study.三级护理中心急诊科将床旁超声作为急性呼吸困难患者的初始诊断工具：诊断准确性研究
Int J Emerg Med. 2022 Jun 13;15(1):27. doi: 10.1186/s12245-022-00430-8.