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内科即时超声检查:新手使用者的局限性与陷阱

Point-of-Care Ultrasonography in Internal Medicine: Limitations and Pitfalls for Novice Users.

作者信息

Elhassan Mohammed G, Grewal Sarbjot, Nezarat Negin

机构信息

Internal Medicine, Saint Agnes Medical Center, Fresno, USA.

Internal Medicine, Saint Agnes Medical Center, Fresno , USA.

出版信息

Cureus. 2023 Aug 17;15(8):e43655. doi: 10.7759/cureus.43655. eCollection 2023 Aug.

DOI:10.7759/cureus.43655
PMID:37600433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10436027/
Abstract

Point-of-care ultrasound (POCUS) is increasingly being adopted in the field of internal medicine, leading to the development of POCUS curricula in undergraduate and postgraduate medical education programs. Prominent internal medicine societies and organizations worldwide recognize the expanding utilization of POCUS by internal medicine physicians, emphasizing the need for practitioners to be aware of both its benefits and limitations. Despite the growing enthusiasm for POCUS, clinicians, particularly those with limited clinical experience, must be cautious regarding its inherent limitations and the potential impact on their clinical practice. This review aims to outline the limitations and potential drawbacks of POCUS for medical students, residents, and internists who wish to stay abreast of the escalating use of POCUS in internal medicine and have a desire, or have already commenced, to incorporate POCUS into their practice. Additionally, it provides recommendations for enhancing POCUS proficiency to mitigate these limitations.

摘要

床旁超声(POCUS)在内科领域的应用越来越广泛,这促使本科和研究生医学教育项目中出现了POCUS课程。全球著名的内科协会和组织都认识到内科医生对POCUS的使用在不断增加,强调从业者需要了解其益处和局限性。尽管对POCUS的热情日益高涨,但临床医生,尤其是临床经验有限的医生,必须谨慎对待其固有的局限性以及对临床实践的潜在影响。本综述旨在概述POCUS对希望跟上内科领域POCUS使用不断增加的趋势、并希望或已经开始将POCUS纳入其临床实践的医学生、住院医师和内科医生的局限性和潜在缺点。此外,它还提供了提高POCUS熟练程度以减轻这些局限性的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbc9/10436027/580c4abe494c/cureus-0015-00000043655-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbc9/10436027/580c4abe494c/cureus-0015-00000043655-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbc9/10436027/580c4abe494c/cureus-0015-00000043655-i01.jpg

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Am J Med. 2022 Mar;135(3):397-404. doi: 10.1016/j.amjmed.2021.11.002. Epub 2021 Dec 7.
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The State of Point-of-Care Ultrasound Training in Undergraduate Medical Education: Findings From a National Survey.
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